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
LAST UPDATED 2024-04-02 11:47:22 UTC
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