Indiana
Professional Licensing Agency
John David Rumisek
Controlled Substance Registration - Physician
License number
01062049B
Date granted
01/18/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Attn: Medical Staff, 2200 Market St., Charlestown IN 47111
indianalicensing.org
ID 5833105
LAST UPDATED 2024-02-24 18:57:13 UTC
LAST UPDATED 2024-02-24 18:57:13 UTC
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