Indiana
Professional Licensing Agency
Paul A. Conti
Controlled Substance Registration - Physician
License number
01053089B
Date granted
09/27/2000
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Diagnostic Medicine (Attention: Tammie Wilmack), 1919 Lake Avenue, Suite 108, Plymouth IN 46563
indianalicensing.org
ID 5910659
LAST UPDATED 2024-04-27 15:23:21 UTC
LAST UPDATED 2024-04-27 15:23:21 UTC
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