Indiana
Professional Licensing Agency
Edwin Ishoo
Controlled Substance Registration - Physician
License number
01054802B
Date granted
10/05/2001
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
701 Long Drive, Quincy IL 62305
indianalicensing.org
ID 5912291
LAST UPDATED 2024-04-15 22:45:50 UTC
LAST UPDATED 2024-04-15 22:45:50 UTC
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