Indiana
Professional Licensing Agency
Nana K. Y. M. Ericsson
Controlled Substance Registration - Physician
License number
01053471B
Date granted
02/07/2001
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1608 Tooley Court, Kokomo IN 46901
indianalicensing.org
ID 5876783
LAST UPDATED 2024-03-16 14:21:09 UTC
LAST UPDATED 2024-03-16 14:21:09 UTC
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