Indiana
Professional Licensing Agency
Brent A. Suozzi
Controlled Substance Registration - Physician
License number
01072583B
Date granted
05/20/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Urology of Indiana, LLC, 679 E County Line Road, Greenwood IN 46143
indianalicensing.org
ID 5861502
LAST UPDATED 2024-03-05 18:27:56 UTC
LAST UPDATED 2024-03-05 18:27:56 UTC
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