Indiana
Professional Licensing Agency
George Y. Kino
Controlled Substance Registration - Physician
License number
01026129B
Date granted
08/22/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1955 Harder Ct., Suite E, Schererville IN 46375
indianalicensing.org
ID 5916930
LAST UPDATED 2024-03-25 11:13:55 UTC
LAST UPDATED 2024-03-25 11:13:55 UTC
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