Indiana
Professional Licensing Agency
Irina Dudar
Controlled Substance Registration - Physician
License number
01059084B
Date granted
05/27/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
303 E. 89th Ave, Merrillville IN 46410
indianalicensing.org
ID 5890433
LAST UPDATED 2024-04-21 23:06:33 UTC
LAST UPDATED 2024-04-21 23:06:33 UTC
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