Indiana
Professional Licensing Agency
Carol A. Costa
Controlled Substance Registration - Physician
License number
01052652B
Date granted
07/12/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Hancock Regional Hospital, 801 N. State Street, Medical Staff Office, Greenfield IN 46140
indianalicensing.org
ID 5860165
LAST UPDATED 2024-02-03 06:43:16 UTC
LAST UPDATED 2024-02-03 06:43:16 UTC
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