Indiana
Professional Licensing Agency
Barry J. Kaufman
Controlled Substance Registration-Osteopathic Physician
License number
02001673C
Date granted
06/10/2004
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Pysicians Pavilion Suite 201, 24 Joliet St., Dyer IN 46311
indianalicensing.org
ID 5798424
LAST UPDATED 2024-04-17 08:17:31 UTC
LAST UPDATED 2024-04-17 08:17:31 UTC
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