Indiana
Professional Licensing Agency
Geralynn A Malloy
Controlled Substance Registration-Osteopathic Physician
License number
02002740B
Date granted
02/20/2004
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Daviess Community Hospital Clinic, 1402 Grand Ave., Washington IN 47501
indianalicensing.org
ID 5815512
LAST UPDATED 2024-02-25 03:05:44 UTC
LAST UPDATED 2024-02-25 03:05:44 UTC
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