Indiana
Professional Licensing Agency
Kemi Kamaria Mascoll-Robertson
Controlled Substance Registration - Physician
License number
01073648B
Date granted
05/16/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Methodist Hospitals-Medical Staff Office, 600 Grant Street, Gary IN 46402
indianalicensing.org
ID 27706646
LAST UPDATED 2024-03-03 20:33:41 UTC
LAST UPDATED 2024-03-03 20:33:41 UTC
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