Indiana
Professional Licensing Agency
Serge Dauphin
Controlled Substance Registration - Physician
License number
01044748B
Date granted
02/29/1996
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
%HEMOTOLOGY ONCOLOGY ASSOC UNIV PARK, 3229 BROADWAY, GARY IN 46409
indianalicensing.org
ID 5857497
LAST UPDATED 2024-04-07 06:04:56 UTC
LAST UPDATED 2024-04-07 06:04:56 UTC
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