Indiana
Professional Licensing Agency
Novera Inam
Controlled Substance Registration - Physician
License number
01061456B
Date granted
08/17/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Family Medicine Center South, 1406 West Bella Drive, Marion IN 46953-5229
indianalicensing.org
ID 5888459
LAST UPDATED 2024-03-04 19:52:52 UTC
LAST UPDATED 2024-03-04 19:52:52 UTC
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