Indiana
Professional Licensing Agency
Barbara Ruth Mociulski
Controlled Substance Registration - Physician
License number
01031200B
Date granted
08/08/1985
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
THE SOUTH BEND CLINIC, 211 N EDDY ST, SOUTH BEND IN 46634
indianalicensing.org
ID 5920490
LAST UPDATED 2024-03-21 15:42:39 UTC
LAST UPDATED 2024-03-21 15:42:39 UTC
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