Indiana
Professional Licensing Agency
Stella Afesumeh Ugboma
Controlled Substance Registration - Physician
License number
01061550B
Date granted
01/19/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Great Lakes Anesthesia, 56218 Parkway Ave Ste B, Elkhart IN 46516
indianalicensing.org
ID 5848502
LAST UPDATED 2024-03-30 04:25:32 UTC
LAST UPDATED 2024-03-30 04:25:32 UTC
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