Indiana
Professional Licensing Agency
Heather Ines Dieperink
Controlled Substance Registration - Physician
License number
01068557B
Date granted
08/11/2010
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Porter Health, 814 LaPorte Avenue, Valparaiso IN 46383
indianalicensing.org
ID 5928650
LAST UPDATED 2024-04-29 01:22:09 UTC
LAST UPDATED 2024-04-29 01:22:09 UTC
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