Indiana
Professional Licensing Agency
Matous Pradny
Controlled Substance Registration - Physician
License number
01066616B
Date granted
05/06/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Joseph Regional Med Center-Attn Roberta Mann, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5895541
LAST UPDATED 2024-03-26 08:46:13 UTC
LAST UPDATED 2024-03-26 08:46:13 UTC
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