Indiana
Professional Licensing Agency
Linda Nowzaradan Boxum
Controlled Substance Registration-Osteopathic Physician
License number
02002922B
Date granted
07/25/2005
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
754 N. McCool Rd., Valparaiso IN 46385
indianalicensing.org
ID 5814776
LAST UPDATED 2024-03-13 16:55:25 UTC
LAST UPDATED 2024-03-13 16:55:25 UTC
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