Indiana
Professional Licensing Agency
Todd Stefan Hagle
Controlled Substance Registration - Physician
License number
01070249B
Date granted
09/20/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11456 Broadway, Crown Point IN 46307
indianalicensing.org
ID 5842010
LAST UPDATED 2024-04-20 23:50:32 UTC
LAST UPDATED 2024-04-20 23:50:32 UTC
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