License holder summary

Michael Valentine U Azodo is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Michael Valentine U Azodo is Radiology Dept South Lake Campus, 8701 Broadway, Merrillville IN 46410. This licensed professional license is current. The license was granted 04/25/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Michael Valentine U Azodo
Controlled Substance Registration - Physician
License number
01044964B
Date granted
04/25/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology Dept South Lake Campus, 8701 Broadway, Merrillville IN 46410
indianalicensing.org
ID 5891086
LAST UPDATED 2024-04-05 01:26:31 UTC

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