Indiana
Professional Licensing Agency
Anuma Kalu Ulu
Controlled Substance Registration - Physician
License number
01057969B
Date granted
09/16/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Logan Sport Mem Hosp/Med Staff Off, 1101 Michigan Ave, Logansport IN 46947
indianalicensing.org
ID 5884686
LAST UPDATED 2024-01-30 17:31:02 UTC
LAST UPDATED 2024-01-30 17:31:02 UTC
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