Indiana
Professional Licensing Agency
James Praveen Anthony
Controlled Substance Registration - Physician
License number
01071016B
Date granted
05/10/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter Hospital, 814 LaPorte Ave, Valparaiso IN 46383
indianalicensing.org
ID 5928737
LAST UPDATED 2024-04-17 05:46:05 UTC
LAST UPDATED 2024-04-17 05:46:05 UTC
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