Indiana
Professional Licensing Agency
Maureen Ziboh
Controlled Substance Registration - Physician
License number
01045545B
Date granted
10/03/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
314 W Catapula Drive, Ste A, Mishawaka IN 46545
indianalicensing.org
ID 5895545
LAST UPDATED 2024-03-06 07:38:38 UTC
LAST UPDATED 2024-03-06 07:38:38 UTC
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