Indiana
Professional Licensing Agency
Kobie Italo Douglas
Controlled Substance Registration - Physician
License number
01071030B
Date granted
09/20/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Margaret Health, 24 Joliet Street, Dyer IN 46311
indianalicensing.org
ID 5856877
LAST UPDATED 2026-04-08 22:04:25 UTC
LAST UPDATED 2026-04-08 22:04:25 UTC
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