Indiana
Professional Licensing Agency
KONSTANTIN VLADIMIROVICH SLAVIN
Controlled Substance Registration - Physician
License number
01054859B
Date granted
08/10/2001
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST MARGARET MERCY, 5454 HOHMAN AVENUE, Hammond IN 46320
indianalicensing.org
ID 5864512
LAST UPDATED 2024-03-22 12:09:13 UTC
LAST UPDATED 2024-03-22 12:09:13 UTC
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