Indiana
Professional Licensing Agency
Antoinette Lynn Medaglia
Controlled Substance Registration - Physician
License number
01071202B
Date granted
03/18/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Notre Dame Wellness Center, 100 Wellness Center, Notre Dame IN 46556
indianalicensing.org
ID 5907921
LAST UPDATED 2024-04-17 05:33:53 UTC
LAST UPDATED 2024-04-17 05:33:53 UTC
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