Indiana
Professional Licensing Agency
Christine Teresa Ciosek
Controlled Substance Registration-Osteopathic Physician
License number
02002420B
Date granted
12/07/2001
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Immediate Care Center, 992 N Mitthoeffer Road, Indianapolis IN 46229
indianalicensing.org
ID 5804076
LAST UPDATED 2024-04-14 12:39:39 UTC
LAST UPDATED 2024-04-14 12:39:39 UTC
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