License holder summary

ROSALINA C M DY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ROSALINA C M DY is LAPORTE HOSPITAL, STATE & MADISON AVENUE, LAPORTE IN 46350. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

ROSALINA C M DY
Controlled Substance Registration - Physician
License number
01028041B
Date granted
02/28/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LAPORTE HOSPITAL, STATE & MADISON AVENUE, LAPORTE IN 46350
indianalicensing.org
ID 5878452
LAST UPDATED 2024-05-05 04:51:42 UTC

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