Indiana
Professional Licensing Agency
Debra Ann Zack
Controlled Substance Registration-Osteopathic Physician
License number
02001389B
Date granted
12/10/1992
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Hessville Family Care Center, 3432 169th Street, Hammond IN 46323
indianalicensing.org
ID 5802390
LAST UPDATED 2024-03-12 10:42:17 UTC
LAST UPDATED 2024-03-12 10:42:17 UTC
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