Indiana
Professional Licensing Agency
Tonia Wolf Kusumi
Controlled Substance Registration - Physician
License number
01062312C
Date granted
05/22/2009
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Pain Care Center, 2350 W. Boulevard, Kokomo IN 46902
indianalicensing.org
ID 5877450
LAST UPDATED 2024-04-29 05:11:33 UTC
LAST UPDATED 2024-04-29 05:11:33 UTC
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