Indiana
Professional Licensing Agency
Devena Alston
Controlled Substance Registration - Physician
License number
01040872B
Date granted
10/29/1992
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
150 West Washington Street, Shelbyville IN 46176
indianalicensing.org
ID 5919145
LAST UPDATED 2024-01-31 02:46:13 UTC
LAST UPDATED 2024-01-31 02:46:13 UTC
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