Indiana
Professional Licensing Agency
Randall Suttor
Controlled Substance Registration - Physician
License number
01032363B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Memorial Hospital, 714 NORTH MICHIGAN STREET, SOUTH BEND IN 46601
indianalicensing.org
ID 5921976
LAST UPDATED 2024-04-20 00:52:40 UTC
LAST UPDATED 2024-04-20 00:52:40 UTC
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