Indiana
Professional Licensing Agency
Dwijen Cristobal Misra, Jr.
Controlled Substance Registration - Physician
License number
01071341B
Date granted
07/20/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
South Pavilion, 2505 N. Lebanon Street, Suite 220, Lebanon IN 46052
indianalicensing.org
ID 5883729
LAST UPDATED 2024-02-05 16:37:57 UTC
LAST UPDATED 2024-02-05 16:37:57 UTC
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