Indiana
Professional Licensing Agency
Christ Pete Koulis
Controlled Substance Registration - Physician
License number
01042036B
Date granted
12/02/1993
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
CLINTON COUNTY HOSPITAL, 1300 S JACKSON STREET, FRANKFORT IN 46041
indianalicensing.org
ID 5855013
LAST UPDATED 2024-04-17 00:52:26 UTC
LAST UPDATED 2024-04-17 00:52:26 UTC
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