Indiana
Professional Licensing Agency
Barbara Parke
Controlled Substance Registration - Physician
License number
01044537B
Date granted
02/18/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4406 West Thornbury Drive, Valparaiso IN 46383
indianalicensing.org
ID 5928109
LAST UPDATED 2024-02-15 10:54:48 UTC
LAST UPDATED 2024-02-15 10:54:48 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.