Indiana
Professional Licensing Agency
John Pasalich
Controlled Substance Registration - Physician
License number
01024054B
Date granted
10/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6119 West Jefferson Blvd, Fort Wayne IN 46804
indianalicensing.org
ID 5853723
LAST UPDATED 2024-03-12 01:54:20 UTC
LAST UPDATED 2024-03-12 01:54:20 UTC
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