Indiana
Professional Licensing Agency
Michele J Ostrowski
Controlled Substance Registration - Physician
License number
01059162B
Date granted
05/17/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11355 West 97th Lane, Saint John IN 46373
indianalicensing.org
ID 5916343
LAST UPDATED 2024-03-14 13:17:47 UTC
LAST UPDATED 2024-03-14 13:17:47 UTC
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