Indiana
Professional Licensing Agency
Maria Carmen Cudiamat
Controlled Substance Registration - Physician
License number
01060435B
Date granted
08/24/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Hancock Family Practice, 120 W. McKenzie St., Suite H, Greenfield IN 46140
indianalicensing.org
ID 5860549
LAST UPDATED 2024-03-25 11:27:24 UTC
LAST UPDATED 2024-03-25 11:27:24 UTC
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