Indiana
Professional Licensing Agency
Dennis Ifeanyi Ugboma
Controlled Substance Registration - Physician
License number
01058552B
Date granted
01/29/2004
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Grant-Blackford Mental Health, Inc., 505 Wabash Avenue, Marion IN 46952
indianalicensing.org
ID 5887884
LAST UPDATED 2024-02-20 15:28:54 UTC
LAST UPDATED 2024-02-20 15:28:54 UTC
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