Indiana
Professional Licensing Agency
Ejegayehu Terefe-Gifawossen
Controlled Substance Registration - Physician
License number
01068519B
Date granted
07/19/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Howard Regional Health System, 3500 S. Lafountain St., Kokomo IN 46902
indianalicensing.org
ID 5875965
LAST UPDATED 2024-02-09 06:30:07 UTC
LAST UPDATED 2024-02-09 06:30:07 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.