Indiana
Professional Licensing Agency
Daniel S. Philipsborn
Controlled Substance Registration - Physician
License number
01029204B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1911 Rosewood Lane, Munster IN 46321-5146
indianalicensing.org
ID 5900063
LAST UPDATED 2024-04-01 15:27:17 UTC
LAST UPDATED 2024-04-01 15:27:17 UTC
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