Indiana
Professional Licensing Agency
Dmitry Novoseletsky
Controlled Substance Registration - Physician
License number
01062695B
Date granted
08/29/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
APAC Medical Plaza, 11456 S. Boardway, Crown Point IN 46307
indianalicensing.org
ID 5840931
LAST UPDATED 2024-03-28 17:43:39 UTC
LAST UPDATED 2024-03-28 17:43:39 UTC
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