Indiana
Professional Licensing Agency
Terri Ann Banjak
Controlled Substance Registration - Podiatrist
License number
07000723B
Date granted
01/30/1991
Date expires
06/30/2001
Class
Controlled Substance Registration - Podiatrist
Status
Expired
Address
326 Salisbury Dr., Munster IN 46321
indianalicensing.org
ID 8431507
LAST UPDATED 2024-03-07 06:48:49 UTC
LAST UPDATED 2024-03-07 06:48:49 UTC
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