Indiana
Professional Licensing Agency
Carla Vanessa Cork
Controlled Substance Registration-Osteopathic Physician
License number
02003708B
Date granted
06/20/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
3732 Glencairn Lane, Indianapolis IN 46205
indianalicensing.org
ID 5803971
LAST UPDATED 2024-03-16 11:56:52 UTC
LAST UPDATED 2024-03-16 11:56:52 UTC
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