Indiana
Professional Licensing Agency
Omari Chubinidze
Controlled Substance Registration - Physician
License number
01063579B
Date granted
05/01/2007
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Scott Memorial Hospital, 1451 N. Gardner, Scottsburg IN 47170-7751
indianalicensing.org
ID 5917914
LAST UPDATED 2024-03-26 04:25:59 UTC
LAST UPDATED 2024-03-26 04:25:59 UTC
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