Indiana
Professional Licensing Agency
GARY MICHAEL PODHAISKY
Controlled Substance Registration - Physician
License number
01046563B
Date granted
04/24/1997
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3506 SOUTH LAFOUNTAIN STREET, KOKOMO IN 46902
indianalicensing.org
ID 5876112
LAST UPDATED 2024-02-20 23:16:17 UTC
LAST UPDATED 2024-02-20 23:16:17 UTC
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