Indiana
Professional Licensing Agency
Grace W. Duarte
Controlled Substance Registration-Osteopathic Physician
License number
02002796B
Date granted
02/07/2005
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St Margaret Mercy Healthcare Center- Attn: Medical Staff Off, 5454 Hohman Avenue, Hammond IN 46321-1935
indianalicensing.org
ID 5802469
LAST UPDATED 2024-04-23 19:46:46 UTC
LAST UPDATED 2024-04-23 19:46:46 UTC
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