Indiana
Professional Licensing Agency
Anthony M. Grimaldi
Controlled Substance Registration-Osteopathic Physician
License number
02000723B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Marcotte Medical Group, 15900 W. 101st Avenue, Dyer IN 46311
indianalicensing.org
ID 5798395
LAST UPDATED 2024-02-14 07:29:18 UTC
LAST UPDATED 2024-02-14 07:29:18 UTC
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