Indiana
Professional Licensing Agency
FAUSTO ODON MAGNO
Controlled Substance Registration - Physician
License number
01054491B
Date granted
07/27/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
8679 Connecticut St., Ste C, Merrillville IN 46410
indianalicensing.org
ID 5890274
LAST UPDATED 2024-04-02 10:43:05 UTC
LAST UPDATED 2024-04-02 10:43:05 UTC
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