Indiana
Professional Licensing Agency
Suzanne Pavlou
Controlled Substance Registration - Physician
License number
01068644B
Date granted
08/11/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Kosciusko Community Hospital, 1210 Provident Drive Suite A, Warsaw IN 46580
indianalicensing.org
ID 5932945
LAST UPDATED 2026-04-29 05:29:25 UTC
LAST UPDATED 2026-04-29 05:29:25 UTC
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