Indiana
Professional Licensing Agency
IHN GURL RHIM
Controlled Substance Registration - Physician
License number
01052454B
Date granted
08/18/2000
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Grand Park Surgery Center, 1479 E. 84th Place, Attn: Chris McCarthy, Merrillville IN 46410
indianalicensing.org
ID 5890424
LAST UPDATED 2024-03-14 16:25:22 UTC
LAST UPDATED 2024-03-14 16:25:22 UTC
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