Indiana
Professional Licensing Agency
Mikki Barker
Controlled Substance Registration-Osteopathic Physician
License number
02002028B
Date granted
12/04/1998
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
WABASH VALLEY MEDICAL, 2900 N RIVER ROAD, WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5815684
LAST UPDATED 2024-04-15 00:28:35 UTC
LAST UPDATED 2024-04-15 00:28:35 UTC
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