Indiana
Professional Licensing Agency
Gene Michael Kubacki
Controlled Substance Registration-Osteopathic Physician
License number
02001732C
Date granted
02/21/2001
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST CATHERINE HOSP OCCUPATIONAL MED CLINIC, 3001 DICKEY ROAD, East Chicago IN 46312
indianalicensing.org
ID 5798900
LAST UPDATED 2024-03-11 10:27:40 UTC
LAST UPDATED 2024-03-11 10:27:40 UTC
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