Indiana
Professional Licensing Agency
Charles F. Hagenow
Controlled Substance Registration - Physician
License number
01024048B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
LaPorte Medical Group, 900 I Street, LAPORTE IN 46350
indianalicensing.org
ID 5877728
LAST UPDATED 2024-05-13 08:24:07 UTC
LAST UPDATED 2024-05-13 08:24:07 UTC
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