Indiana
Professional Licensing Agency
Elizabeth Ann Pino
Controlled Substance Registration - Physician
License number
01043717B
Date granted
05/25/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
UAP Clinic, LLC, 221 S. 6th Street, Terre Haute IN 47807-4214
indianalicensing.org
ID 5925084
LAST UPDATED 2024-01-04 04:46:34 UTC
LAST UPDATED 2024-01-04 04:46:34 UTC
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