Indiana
Professional Licensing Agency
Rosario N. Chua
Controlled Substance Registration - Physician
License number
01034719B
Date granted
11/01/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1014 STATE STREET, LAFAYETTE IN 47905
indianalicensing.org
ID 5880658
LAST UPDATED 2024-04-27 19:17:41 UTC
LAST UPDATED 2024-04-27 19:17:41 UTC
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