Indiana
Professional Licensing Agency
Theodore Makovsky
Controlled Substance Registration - Physician
License number
01014347B
Date granted
11/16/1943
Date expires
02/28/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2909 VILLAGE LANE, VALPARAISO IN 46383
indianalicensing.org
ID 5929970
LAST UPDATED 2024-04-15 16:03:07 UTC
LAST UPDATED 2024-04-15 16:03:07 UTC
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