Indiana
Professional Licensing Agency
Patrick Francis O'Malley
Controlled Substance Registration - Physician
License number
01021791B
Date granted
08/31/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired Non-Renewable
Address
53822 Generations Drive, South Bend IN 46635
indianalicensing.org
ID 5921862
LAST UPDATED 2024-01-17 01:47:52 UTC
LAST UPDATED 2024-01-17 01:47:52 UTC
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