Indiana
Professional Licensing Agency
Diane Marie Kolody
Controlled Substance Registration - Physician
License number
01039146B
Date granted
06/12/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1155 West Jefferson Street Suite 101, Franklin IN 46131
indianalicensing.org
ID 5855413
LAST UPDATED 2024-04-17 21:30:06 UTC
LAST UPDATED 2024-04-17 21:30:06 UTC
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