License holder summary

Guo Phoenix is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Guo Phoenix is St. Joseph Regional Medical Center, 5215 Holly Cross Parkway, Mishawaka IN 46545. This licensed professional license is current. The license was granted 01/02/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Guo Phoenix
Controlled Substance Registration - Physician
License number
01072023B
Date granted
01/02/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Regional Medical Center, 5215 Holly Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5895043
LAST UPDATED 2024-04-05 21:12:58 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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