Indiana
Professional Licensing Agency
Nicole Stacey Pavlatos
Controlled Substance Registration - Physician
License number
01072103B
Date granted
01/31/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Franciscan St Margaret Health, 24 Joliet Street, Dyer IN 46311-1799
indianalicensing.org
ID 5844518
LAST UPDATED 2024-03-03 15:38:45 UTC
LAST UPDATED 2024-03-03 15:38:45 UTC
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