Indiana
Professional Licensing Agency
Lily Kristine Fernandez Sunio
Controlled Substance Registration - Physician
License number
01073784B
Date granted
06/20/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
710 Park Place, Mishawaka IN 46545
indianalicensing.org
ID 27714900
LAST UPDATED 2024-03-09 18:50:55 UTC
LAST UPDATED 2024-03-09 18:50:55 UTC
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