Indiana
Professional Licensing Agency
Olusegun Adekunle Ishmael
Controlled Substance Registration - Physician
License number
01047096B
Date granted
07/01/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Care Center, 9660 Wicker Avenue, Saint John IN 46373-9487
indianalicensing.org
ID 5916356
LAST UPDATED 2024-02-17 06:19:23 UTC
LAST UPDATED 2024-02-17 06:19:23 UTC
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