Indiana
Professional Licensing Agency
Theodore Banks, Jr.
Controlled Substance Registration - Physician
License number
01049408B
Date granted
08/27/1998
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Porter Memorial Hospital Emergency Dept, 814 Laporte Avenue, Valparaiso IN 46383
indianalicensing.org
ID 5929954
LAST UPDATED 2024-04-27 06:56:15 UTC
LAST UPDATED 2024-04-27 06:56:15 UTC
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