Indiana
Professional Licensing Agency
Dean Stanley Collis
Controlled Substance Registration - Physician
License number
01053313B
Date granted
11/16/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Nove-Med Surgical Center, 520 West First Street, New Albany IN 47150
indianalicensing.org
ID 5902360
LAST UPDATED 2024-03-09 22:09:22 UTC
LAST UPDATED 2024-03-09 22:09:22 UTC
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