Indiana
Professional Licensing Agency
Karla A. Goulart Newbold
Controlled Substance Registration - Physician
License number
01069152B
Date granted
02/15/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana University Health La Porte Hospital, 1007 Lincolnway, La Porte IN 46350
indianalicensing.org
ID 5878188
LAST UPDATED 2024-04-23 08:42:48 UTC
LAST UPDATED 2024-04-23 08:42:48 UTC
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