Indiana
Professional Licensing Agency
PATRICIA M CACKOWSKI
Controlled Substance Registration - Physician
License number
01033101C
Date granted
12/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
IMMEDIATE CARE CENTER, 1278 N MADISON AVENUE, GREENWOOD IN 46142
indianalicensing.org
ID 5862305
LAST UPDATED 2024-03-19 14:06:19 UTC
LAST UPDATED 2024-03-19 14:06:19 UTC
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