Indiana
Professional Licensing Agency
Dariusz Grzegorz Mydlarz
Controlled Substance Registration - Physician
License number
01064761B
Date granted
02/11/2008
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Madison County Community Health Clinic, 1547 Ohio Avenue, Anderson IN 46015
indianalicensing.org
ID 5816901
LAST UPDATED 2024-05-08 03:08:54 UTC
LAST UPDATED 2024-05-08 03:08:54 UTC
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