Indiana
Professional Licensing Agency
Jessica Haloskie
Controlled Substance Registration - Physician
License number
01070108B
Date granted
08/16/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Care Express, 650 Dickinson Road, Chesterton IN 46304
indianalicensing.org
ID 5833679
LAST UPDATED 2024-02-26 14:50:49 UTC
LAST UPDATED 2024-02-26 14:50:49 UTC
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