Indiana
Professional Licensing Agency
Theodore R. Neumann
Controlled Substance Registration - Physician
License number
01028195B
Date granted
03/07/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
611 E Douglas Rd suite 412, Mishawaka IN 46545
indianalicensing.org
ID 5896008
LAST UPDATED 2024-01-26 10:05:36 UTC
LAST UPDATED 2024-01-26 10:05:36 UTC
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