Indiana
Professional Licensing Agency
Philomena Jacintha Dias
Controlled Substance Registration - Physician
License number
01034355B
Date granted
07/02/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4000 W 106th Ste, 125-348, Carmel IN 46032
indianalicensing.org
ID 5831657
LAST UPDATED 2024-04-04 03:11:26 UTC
LAST UPDATED 2024-04-04 03:11:26 UTC
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