Indiana
Professional Licensing Agency
Pavel Morozov
Controlled Substance Registration - Physician
License number
01056730B
Date granted
08/27/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5864932
LAST UPDATED 2024-03-21 08:34:40 UTC
LAST UPDATED 2024-03-21 08:34:40 UTC
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