Indiana
Professional Licensing Agency
David H Park
Controlled Substance Registration-Osteopathic Physician
License number
02003581B
Date granted
11/23/2009
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Methodist Hospital, 8701 Broadway, Merrillville IN 46410
indianalicensing.org
ID 5808679
LAST UPDATED 2024-04-23 18:07:33 UTC
LAST UPDATED 2024-04-23 18:07:33 UTC
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