Indiana
Professional Licensing Agency
Robert Jacob Porte
Controlled Substance Registration - Physician
License number
01029347B
Date granted
03/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Tatum Family Health, 1619 W 5TH AVE, GARY IN 46404
indianalicensing.org
ID 5857437
LAST UPDATED 2024-03-01 13:59:30 UTC
LAST UPDATED 2024-03-01 13:59:30 UTC
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