Indiana
Professional Licensing Agency
Julie Ann DeRosa
Controlled Substance Registration - Physician
License number
01049022B
Date granted
07/22/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5521 West Lincoln Highway, Suite 1A, Crown Point IN 46307
indianalicensing.org
ID 5841349
LAST UPDATED 2024-02-15 05:43:54 UTC
LAST UPDATED 2024-02-15 05:43:54 UTC
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