Indiana
Professional Licensing Agency
HOWARD MICHAEL ADDIS
Controlled Substance Registration - Physician
License number
01024782B
Date granted
10/31/1984
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
2102 EAST INWOOD, SOUTH BEND IN 46614
indianalicensing.org
ID 5921117
LAST UPDATED 2024-04-22 06:58:49 UTC
LAST UPDATED 2024-04-22 06:58:49 UTC
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