Indiana
Professional Licensing Agency
Olga Pasternak-Wise
Controlled Substance Registration - Physician
License number
01074409B
Date granted
08/07/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Franciscan St. Anthony Health, 1201 South Main St., Crown Point IN 46307
indianalicensing.org
ID 27702935
LAST UPDATED 2024-03-13 17:22:39 UTC
LAST UPDATED 2024-03-13 17:22:39 UTC
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