Indiana
Professional Licensing Agency
Keith Atassi
Controlled Substance Registration - Physician
License number
01038771B
Date granted
10/12/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2000 ROOSEVELT ROAD, VALPARAISO IN 46383
indianalicensing.org
ID 5928972
LAST UPDATED 2024-03-26 13:10:15 UTC
LAST UPDATED 2024-03-26 13:10:15 UTC
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