Indiana
Professional Licensing Agency
Elizabeth Piszczalka Konefal
Controlled Substance Registration - Physician
License number
01049322B
Date granted
02/16/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Great Lakes Anesthesia, 56218 Parkway Ave Ste B, Elkhart IN 46516
indianalicensing.org
ID 5847133
LAST UPDATED 2024-04-16 22:19:53 UTC
LAST UPDATED 2024-04-16 22:19:53 UTC
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