Indiana
Professional Licensing Agency
DERINDA ANN RADJESKI
Controlled Substance Registration - Physician
License number
01027564B
Date granted
06/30/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ATTN ROBIN, 3506 SOUTH LAFOUNTAIN, KOKOMO IN 46902
indianalicensing.org
ID 5875910
LAST UPDATED 2024-03-26 15:11:03 UTC
LAST UPDATED 2024-03-26 15:11:03 UTC
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