Indiana
Professional Licensing Agency
Banipal Hovhanessian
Controlled Substance Registration - Physician
License number
01035786B
Date granted
04/10/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2220 WEST ALTO ROAD, KOKOMO IN 46902
indianalicensing.org
ID 5875658
LAST UPDATED 2024-04-30 12:42:28 UTC
LAST UPDATED 2024-04-30 12:42:28 UTC
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