Indiana
Professional Licensing Agency
Joseph D. Dominik
Controlled Substance Registration - Physician
License number
01028123B
Date granted
10/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
FRANKFORT MEDICAL CLINIC, 1201 OAK STREET P O BOX 279, FRANKFORT IN 46041
indianalicensing.org
ID 5855114
LAST UPDATED 2024-02-11 02:44:25 UTC
LAST UPDATED 2024-02-11 02:44:25 UTC
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