Indiana
Professional Licensing Agency
Krista Michelle Molina
Controlled Substance Registration - Physician
License number
01065580B
Date granted
04/27/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
770 Indian Boundary Road, Suite 200, Chesterton IN 46304
indianalicensing.org
ID 5833712
LAST UPDATED 2024-02-24 13:30:11 UTC
LAST UPDATED 2024-02-24 13:30:11 UTC
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