Indiana
Professional Licensing Agency
Douge Barthelemy
Controlled Substance Registration - Physician
License number
01022673B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
650 Grant Street, GARY IN 46404
indianalicensing.org
ID 5856481
LAST UPDATED 2024-03-06 05:45:51 UTC
LAST UPDATED 2024-03-06 05:45:51 UTC
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