Indiana
Professional Licensing Agency
Ivailo Dichev Dimov
Controlled Substance Registration - Physician
License number
01063032B
Date granted
12/04/2006
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St Joseph Hospital & Health Center, 1907 W. Sycamore, Kokomo IN 46904
indianalicensing.org
ID 5876195
LAST UPDATED 2024-03-19 01:24:51 UTC
LAST UPDATED 2024-03-19 01:24:51 UTC
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