Indiana
Professional Licensing Agency
Constance Philipps
Controlled Substance Registration - Physician
License number
01074136B
Date granted
06/23/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ABJ VA O/P Clinic, 9301 Madison, Crown Point IN 46307
indianalicensing.org
ID 27702760
LAST UPDATED 2024-01-29 19:05:32 UTC
LAST UPDATED 2024-01-29 19:05:32 UTC
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