Indiana
Professional Licensing Agency
RADOSVETA G ODISEEVA IVANOVA
Controlled Substance Registration - Physician
License number
01049149B
Date granted
07/23/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1105 WEST 163 AVENUE SUITE 103, Crown Point IN 46307
indianalicensing.org
ID 5841758
LAST UPDATED 2026-06-12 09:32:24 UTC
LAST UPDATED 2026-06-12 09:32:24 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.