Indiana
Professional Licensing Agency
David Sullivan
Controlled Substance Registration - Podiatrist
License number
07001049B
Date granted
04/09/2008
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
16411 Southpark Dr., Suite B, Westfield IN 46074
indianalicensing.org
ID 8443217
LAST UPDATED 2024-02-14 00:18:19 UTC
LAST UPDATED 2024-02-14 00:18:19 UTC
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