Indiana
Professional Licensing Agency
Sunida Bintasan
Controlled Substance Registration - Physician
License number
01028506B
Date granted
08/07/1978
Date expires
08/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
640 S ROGERS ST, BLOOMINGTON IN 47401
indianalicensing.org
ID 5825839
LAST UPDATED 2024-04-02 01:05:16 UTC
LAST UPDATED 2024-04-02 01:05:16 UTC
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