Indiana
Professional Licensing Agency
Connie JoAnn Gapinski
Controlled Substance Registration - Physician
License number
01055453B
Date granted
12/18/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11534 Trail Ridge Place, Zionsville IN 46077
indianalicensing.org
ID 5936686
LAST UPDATED 2024-04-30 03:40:34 UTC
LAST UPDATED 2024-04-30 03:40:34 UTC
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