Indiana
Professional Licensing Agency
Isidora Liberty Nantes
Controlled Substance Registration - Physician
License number
01044666B
Date granted
01/25/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
251 West 84th Drive, Merrillville IN 46410
indianalicensing.org
ID 5890435
LAST UPDATED 2024-03-30 01:57:59 UTC
LAST UPDATED 2024-03-30 01:57:59 UTC
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