Indiana
Professional Licensing Agency
Bryan Jacob King
Controlled Substance Registration-Osteopathic Physician
License number
02004018B
Date granted
05/18/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
LaPorte Regional Hosptial, 1007 Lincolnway, La Porte IN 46350
indianalicensing.org
ID 5806757
LAST UPDATED 2024-03-28 03:45:20 UTC
LAST UPDATED 2024-03-28 03:45:20 UTC
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