Indiana
Professional Licensing Agency
Susana C Alvarez
Controlled Substance Registration - Physician
License number
01051236B
Date granted
05/25/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6243 Forest Avenue, Hammond IN 46324
indianalicensing.org
ID 5865489
LAST UPDATED 2024-04-25 22:37:25 UTC
LAST UPDATED 2024-04-25 22:37:25 UTC
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