Indiana
Professional Licensing Agency
Ebenezer Sampong Bediako
Controlled Substance Registration - Physician
License number
01063471B
Date granted
04/20/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1852 Ashburn Drive, Goshen IN 46526
indianalicensing.org
ID 5858580
LAST UPDATED 2024-04-14 14:14:56 UTC
LAST UPDATED 2024-04-14 14:14:56 UTC
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