Indiana
Professional Licensing Agency
Mary Jean Hoppa
Controlled Substance Registration - Physician
License number
01060183B
Date granted
02/02/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
276 Bruntsfield Ct., Valparaiso IN 46385
indianalicensing.org
ID 5929246
LAST UPDATED 2024-02-23 11:57:50 UTC
LAST UPDATED 2024-02-23 11:57:50 UTC
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