Indiana
Professional Licensing Agency
Charles D. Magill
Controlled Substance Registration - Physician
License number
01039954B
Date granted
01/28/1992
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3082 Shorewood, La Porte IN 46350
indianalicensing.org
ID 5877748
LAST UPDATED 2024-05-15 10:15:23 UTC
LAST UPDATED 2024-05-15 10:15:23 UTC
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