Indiana
Professional Licensing Agency
George Nikita Vailas
Controlled Substance Registration - Physician
License number
01035125B
Date granted
10/25/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Deaconess General Hospital, 4111 Gateway Blvd, Newburgh IN 47630
indianalicensing.org
ID 5905576
LAST UPDATED 2024-04-19 23:26:41 UTC
LAST UPDATED 2024-04-19 23:26:41 UTC
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