Indiana
Professional Licensing Agency
IL WOO PARK
Controlled Substance Registration - Physician
License number
01032910B
Date granted
08/18/1983
Date expires
01/31/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5454 HOHMAN AVE, HAMMOND IN 46320
indianalicensing.org
ID 5864138
LAST UPDATED 2024-01-17 21:44:08 UTC
LAST UPDATED 2024-01-17 21:44:08 UTC
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