Indiana
Professional Licensing Agency
Michael Richard Kupon
Controlled Substance Registration-Osteopathic Physician
License number
02003426B
Date granted
10/08/2008
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
3652 Rome Drive, Suite A, Lafayette IN 47905
indianalicensing.org
ID 5807075
LAST UPDATED 2024-04-11 11:10:02 UTC
LAST UPDATED 2024-04-11 11:10:02 UTC
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