Indiana
Professional Licensing Agency
Ewa Poltorak
Controlled Substance Registration - Physician
License number
01058615B
Date granted
11/03/2004
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Methodist Hospitals, 600 Grant Street, Gary IN 46402
indianalicensing.org
ID 5856560
LAST UPDATED 2024-03-28 18:59:07 UTC
LAST UPDATED 2024-03-28 18:59:07 UTC
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