License holder summary

Stella Afesumeh Ugboma is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Stella Afesumeh Ugboma is Great Lakes Anesthesia, 56218 Parkway Ave Ste B, Elkhart IN 46516. This licensed professional license is current. The license was granted 01/19/2006 and expired on 10/31/2015.

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

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