Indiana
Professional Licensing Agency
Anton Grankin
Controlled Substance Registration - Physician
License number
01072895B
Date granted
07/29/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Vincent Jennings, 301 Henry Street, North Vernon IN 47265
indianalicensing.org
ID 5907621
LAST UPDATED 2024-05-04 06:15:20 UTC
LAST UPDATED 2024-05-04 06:15:20 UTC
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