Indiana
Professional Licensing Agency
Jon A. Spyridakis
Controlled Substance Registration-Osteopathic Physician
License number
02003291B
Date granted
01/04/2008
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
7950 W. Jefferson Blvd., Fort Wayne IN 46804
indianalicensing.org
ID 5800522
LAST UPDATED 2024-04-10 00:03:21 UTC
LAST UPDATED 2024-04-10 00:03:21 UTC
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