Indiana
Professional Licensing Agency
Phil Owen Burgan
Controlled Substance Registration - Physician
License number
01023827B
Date granted
04/30/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST JOE MEMORIAL HOSPITAL, 1907 WEST SYCAMORE 2nd fl #250, KOKOMO IN 46901
indianalicensing.org
ID 5876877
LAST UPDATED 2024-03-16 13:31:08 UTC
LAST UPDATED 2024-03-16 13:31:08 UTC
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