Indiana
Professional Licensing Agency
Paul Revere Ferbend
Controlled Substance Registration-Osteopathic Physician
License number
02002100B
Date granted
08/09/1999
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
PATHOLOGY CONSULTANTS INC, 113 E 4TH ST, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5808927
LAST UPDATED 2024-04-05 23:55:30 UTC
LAST UPDATED 2024-04-05 23:55:30 UTC
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