Indiana
Professional Licensing Agency
Candice Ong Yu-Fleming
Controlled Substance Registration - Physician
License number
01058114B
Date granted
10/09/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Portage Medical Group, 3630 Willowcreek Road, Portage IN 46368
indianalicensing.org
ID 5910962
LAST UPDATED 2024-03-06 23:48:32 UTC
LAST UPDATED 2024-03-06 23:48:32 UTC
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