Indiana
Professional Licensing Agency
Min Yan
Controlled Substance Registration - Physician
License number
01056722B
Date granted
03/15/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Goshen Gen Hosp/Pathology, 200 High Park Ave, Goshen IN 46527
indianalicensing.org
ID 5858939
LAST UPDATED 2024-03-15 02:01:53 UTC
LAST UPDATED 2024-03-15 02:01:53 UTC
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