Indiana
Professional Licensing Agency
Ejiro Diejomaoh
Controlled Substance Registration - Physician
License number
01054182B
Date granted
12/13/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Porter Hospital, 814 Laporte Ave, Valparaiso IN 46383
indianalicensing.org
ID 5928457
LAST UPDATED 2024-04-23 07:19:57 UTC
LAST UPDATED 2024-04-23 07:19:57 UTC
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