Indiana
Professional Licensing Agency
Mary Ann Chavez
Controlled Substance Registration-Osteopathic Physician
License number
02002313B
Date granted
05/10/2001
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
222 W. Beech Street, Sullivan IN 47882
indianalicensing.org
ID 5813968
LAST UPDATED 2024-03-25 03:00:17 UTC
LAST UPDATED 2024-03-25 03:00:17 UTC
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