Indiana
Professional Licensing Agency
Noel Serrano
Controlled Substance Registration - Physician
License number
01059779B
Date granted
11/22/2004
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Tatum Family Health Ctr/Home Physicians, 1619 W. 5th Avenue - Attn: Samara, Gary IN 46404
indianalicensing.org
ID 5857156
LAST UPDATED 2024-04-15 06:44:23 UTC
LAST UPDATED 2024-04-15 06:44:23 UTC
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