Indiana
Professional Licensing Agency
Don R. Domenico
Controlled Substance Registration - Physician
License number
01066215B
Date granted
01/26/2009
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St Margaret Mercy Hospital, 24 Joliet Street, Dyer IN 46311
indianalicensing.org
ID 5844219
LAST UPDATED 2024-03-20 04:10:47 UTC
LAST UPDATED 2024-03-20 04:10:47 UTC
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