Indiana
Professional Licensing Agency
Tina Molis
Controlled Substance Registration - Physician
License number
01060847B
Date granted
07/06/2005
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Wabash Diagnostic Imaging, 328 W Second St. Ste 101, Vincennes IN 47591
indianalicensing.org
ID 5931582
LAST UPDATED 2024-05-05 07:51:26 UTC
LAST UPDATED 2024-05-05 07:51:26 UTC
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