Indiana
Professional Licensing Agency
June Denise Krivach
Controlled Substance Registration - Physician
License number
01033669B
Date granted
10/31/1985
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
158 WOODSIDE LANE, VALPARAISO IN 46383
indianalicensing.org
ID 5928934
LAST UPDATED 2024-03-28 03:25:30 UTC
LAST UPDATED 2024-03-28 03:25:30 UTC
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