Indiana
Professional Licensing Agency
Juley T. Dy
Controlled Substance Registration - Physician
License number
01022998B
Date granted
08/09/1970
Date expires
10/31/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2642 ELEANOR, PORTAGE IN 46368
indianalicensing.org
ID 5911097
LAST UPDATED 2024-02-06 13:05:37 UTC
LAST UPDATED 2024-02-06 13:05:37 UTC
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