Indiana
Professional Licensing Agency
Caroline Elsa Bjonback
Controlled Substance Registration - Physician
License number
01044334B
Date granted
10/05/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
400 Legacy Plaza West, LAPORTE IN 46350
indianalicensing.org
ID 5877684
LAST UPDATED 2024-03-30 11:32:32 UTC
LAST UPDATED 2024-03-30 11:32:32 UTC
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