Indiana
Professional Licensing Agency
Nan Jiang
Controlled Substance Registration - Physician
License number
01056401B
Date granted
07/18/2002
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
159 Brockton Place, Valparaiso IN 46385
indianalicensing.org
ID 5929428
LAST UPDATED 2024-03-24 04:51:02 UTC
LAST UPDATED 2024-03-24 04:51:02 UTC
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