License holder summary

Irene Dmitruk is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Irene Dmitruk is St Mary Medical Center Att: EPMG ER DEP Dan Kowalzky, 1500 South Lake Park Avenue, Hobart IN 46342. This licensed professional license is current. The license was granted 07/26/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Irene Dmitruk
Controlled Substance Registration-Osteopathic Physician
License number
02003817B
Date granted
07/26/2011
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St Mary Medical Center Att: EPMG ER DEP Dan Kowalzky, 1500 South Lake Park Avenue, Hobart IN 46342
indianalicensing.org
ID 5803436
LAST UPDATED 2024-02-26 15:23:17 UTC

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