Indiana
Professional Licensing Agency
Paul John Russo
Controlled Substance Registration-Osteopathic Physician
License number
02001842B
Date granted
05/28/1997
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Advanced Medical Arts, 418 School Street, Culver IN 46511
indianalicensing.org
ID 5797866
LAST UPDATED 2024-04-04 10:54:23 UTC
LAST UPDATED 2024-04-04 10:54:23 UTC
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