Indiana
Professional Licensing Agency
Charles A. Owens
Controlled Substance Registration - Physician
License number
01066922B
Date granted
06/26/2009
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Porter Hospital - attn: Radiologic Associates. of NW, 814 LaPorte Ave., Valparaiso IN 46383
indianalicensing.org
ID 5928209
LAST UPDATED 2024-04-26 05:21:29 UTC
LAST UPDATED 2024-04-26 05:21:29 UTC
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