Indiana
Professional Licensing Agency
Emma Wang
Controlled Substance Registration-Osteopathic Physician
License number
02001493B
Date granted
09/30/1993
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Victory Clinical Services II, 4218 Western Ave., South Bend IN 46619
indianalicensing.org
ID 5813287
LAST UPDATED 2024-03-27 04:23:49 UTC
LAST UPDATED 2024-03-27 04:23:49 UTC
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