Indiana
Professional Licensing Agency
Hirenkumar Damjibhai Italia
Controlled Substance Registration - Physician
License number
01071167C
Date granted
06/26/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Doctors Express Granger, 7115 Haritage Square Dr # 1250, Granger IN 46530
indianalicensing.org
ID 5859501
LAST UPDATED 2024-04-02 21:17:38 UTC
LAST UPDATED 2024-04-02 21:17:38 UTC
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