Indiana
Professional Licensing Agency
Maryjoe Gisi
Controlled Substance Registration-Osteopathic Physician
License number
02003545B
Date granted
07/27/2009
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ATTN: Janice Schuelke, 403 East Madison, South Bend IN 46617
indianalicensing.org
ID 5813531
LAST UPDATED 2024-03-13 15:36:54 UTC
LAST UPDATED 2024-03-13 15:36:54 UTC
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