Indiana
Professional Licensing Agency
Curtis Lee Gongwer
Controlled Substance Registration - Physician
License number
01045301B
Date granted
07/01/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4440 North Portage Ave., South Bend IN 46628
indianalicensing.org
ID 5920603
LAST UPDATED 2024-04-02 12:48:56 UTC
LAST UPDATED 2024-04-02 12:48:56 UTC
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