Indiana
Professional Licensing Agency
Antje Southwick Dew
Controlled Substance Registration - Physician
License number
01058519B
Date granted
08/13/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
New Castle Pediatrics, 1000 North 16th Street, Suite G10, New Castle IN 47362
indianalicensing.org
ID 5904275
LAST UPDATED 2024-03-20 11:23:05 UTC
LAST UPDATED 2024-03-20 11:23:05 UTC
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