Indiana
Professional Licensing Agency
SCOTT JOSEPH ANZALONE
Controlled Substance Registration - Physician
License number
01045268B
Date granted
07/01/1996
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
714 MICHIGAN ST, SOUTH BEND IN 46601
indianalicensing.org
ID 5922239
LAST UPDATED 2024-03-27 13:43:28 UTC
LAST UPDATED 2024-03-27 13:43:28 UTC
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