Indiana
Professional Licensing Agency
Michal Prokop Hornicek
Controlled Substance Registration - Physician
License number
01047503B
Date granted
09/25/1997
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Richmond State Hospital, 498 N W 18th Street, Richmond IN 47374
indianalicensing.org
ID 5913916
LAST UPDATED 2024-04-01 19:14:59 UTC
LAST UPDATED 2024-04-01 19:14:59 UTC
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