Indiana
Professional Licensing Agency
MARY KATHERINE KUBIAK
Controlled Substance Registration - Physician
License number
01041211B
Date granted
04/18/1995
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
605 COTTAGE AVENUE, COLUMBUS IN 47201
indianalicensing.org
ID 5836768
LAST UPDATED 2024-04-28 16:31:46 UTC
LAST UPDATED 2024-04-28 16:31:46 UTC
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