Indiana
Professional Licensing Agency
FARIDA ISIP CHUA
Controlled Substance Registration - Physician
License number
01025104B
Date granted
03/31/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8500 BROADWAY SUITE E, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890265
LAST UPDATED 2024-03-07 00:16:08 UTC
LAST UPDATED 2024-03-07 00:16:08 UTC
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