Indiana
Professional Licensing Agency
Joseph Ross Leventhal
Controlled Substance Registration - Physician
License number
01065043B
Date granted
05/05/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3691 Willowcreek Road Suite 100, Portage IN 46368
indianalicensing.org
ID 5911078
LAST UPDATED 2024-03-07 12:36:47 UTC
LAST UPDATED 2024-03-07 12:36:47 UTC
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