Indiana
Professional Licensing Agency
Jay Paul
Controlled Substance Registration - Physician
License number
01065851B
Date granted
09/17/2008
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Elkhart Clinic- Attn: Anne Mattei, 303 S Nappanee Street, Elkhart IN 46515
indianalicensing.org
ID 5847470
LAST UPDATED 2024-05-12 19:50:56 UTC
LAST UPDATED 2024-05-12 19:50:56 UTC
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