Indiana
Professional Licensing Agency
Carmen Perez
Controlled Substance Registration - Physician
License number
01072533B
Date granted
05/03/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Logansport Memorial Hospital, 1101 Michigan Avenue, Logansport IN 46947
indianalicensing.org
ID 5884759
LAST UPDATED 2024-04-02 22:04:05 UTC
LAST UPDATED 2024-04-02 22:04:05 UTC
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