Indiana
Professional Licensing Agency
Pedro Bukata
Controlled Substance Registration - Physician
License number
01026572B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
801 MC ARTHUR BOULEVARD, SUITE 405, Munster IN 46321
indianalicensing.org
ID 5901163
LAST UPDATED 2024-03-11 23:45:11 UTC
LAST UPDATED 2024-03-11 23:45:11 UTC
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