Indiana
Professional Licensing Agency
Nana Berikashvili
Controlled Substance Registration - Physician
License number
01061496B
Date granted
05/01/2006
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Grant Blackford Mental Health, 505 Wabash Avenue, Marion IN 46952
indianalicensing.org
ID 5888437
LAST UPDATED 2024-04-23 23:56:42 UTC
LAST UPDATED 2024-04-23 23:56:42 UTC
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