Indiana
Professional Licensing Agency
Sylvia Georgia Mustonen
Controlled Substance Registration-Osteopathic Physician
License number
02003956B
Date granted
02/27/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Home Care Clinic / EWCS, 10012 Auburn Park Drive, Fort Wayne IN 46825
indianalicensing.org
ID 5800855
LAST UPDATED 2024-03-24 21:01:51 UTC
LAST UPDATED 2024-03-24 21:01:51 UTC
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