Indiana
Professional Licensing Agency
SUN JIANG GUO
Controlled Substance Registration - Physician
License number
01029090B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
V A MEDICAL CENTER, 2121 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 5854571
LAST UPDATED 2024-03-07 02:56:46 UTC
LAST UPDATED 2024-03-07 02:56:46 UTC
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