Indiana
Professional Licensing Agency
CHESTER JOHN KMAK
Controlled Substance Registration - Physician
License number
01017741B
Date granted
05/31/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
420 EAST 86TH AVENUE, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890025
LAST UPDATED 2024-03-01 08:25:10 UTC
LAST UPDATED 2024-03-01 08:25:10 UTC
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