Indiana
Professional Licensing Agency
Kidanu Birhanu
Controlled Substance Registration - Physician
License number
01066132B
Date granted
12/22/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Margaret Mercy Hospital, 24 Joliet Midwest Bariatric Institute, Suite 302, Dyer IN 46311
indianalicensing.org
ID 5844423
LAST UPDATED 2024-05-06 04:04:58 UTC
LAST UPDATED 2024-05-06 04:04:58 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.