Indiana
Professional Licensing Agency
Mary Obianju Ubanwa
Controlled Substance Registration - Physician
License number
01056232B
Date granted
05/28/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1201 South Main Street, Crown Point IN 46307
indianalicensing.org
ID 5841584
LAST UPDATED 2024-05-09 05:15:02 UTC
LAST UPDATED 2024-05-09 05:15:02 UTC
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