Indiana
Professional Licensing Agency
Eva Dumasia
Controlled Substance Registration - Physician
License number
01069733B
Date granted
06/24/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1007 Lincolnway, La Porte IN 46350
indianalicensing.org
ID 5877878
LAST UPDATED 2024-02-01 05:25:56 UTC
LAST UPDATED 2024-02-01 05:25:56 UTC
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