License holder summary

Nada Spiru Mukoski is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Nada Spiru Mukoski is ABJ - VA Outpatient Clinic, 9330 S. Broadway, Crown Point IN 46307. This licensed professional license is current. The license was granted 06/08/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Nada Spiru Mukoski
Controlled Substance Registration - Physician
License number
01060837B
Date granted
06/08/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ABJ - VA Outpatient Clinic, 9330 S. Broadway, Crown Point IN 46307
indianalicensing.org
ID 5841656
LAST UPDATED 2024-04-02 11:47:22 UTC

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