Indiana
Professional Licensing Agency
Nancy Kay Palis
Controlled Substance Registration - Physician
License number
01057921B
Date granted
08/11/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3799 North Claret Trail, La Porte IN 46350
indianalicensing.org
ID 5878400
LAST UPDATED 2024-03-29 03:14:53 UTC
LAST UPDATED 2024-03-29 03:14:53 UTC
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