Indiana
Professional Licensing Agency
NATALIA FUDIM
Controlled Substance Registration - Physician
License number
01049599B
Date granted
10/05/1998
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SOUTHLAKE CENTER FOR MENTAL HEALTH, 8555 TAFT STREET, MERRILLVILLE IN 46410
indianalicensing.org
ID 5891156
LAST UPDATED 2024-02-10 21:05:37 UTC
LAST UPDATED 2024-02-10 21:05:37 UTC
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