Indiana
Professional Licensing Agency
Ma Luisa Sumabat
Controlled Substance Registration - Physician
License number
01042725B
Date granted
08/23/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Wells Medical Services, 117 SOUTH MAIN STREET, BLUFFTON IN 46714
indianalicensing.org
ID 5826700
LAST UPDATED 2026-05-19 08:30:35 UTC
LAST UPDATED 2026-05-19 08:30:35 UTC
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