Indiana
Professional Licensing Agency
Truc T. Ly
Controlled Substance Registration - Physician
License number
01071407B
Date granted
07/09/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Joseph Regional Medical Center, 611 E Douglas Road, Mishawaka IN 46545
indianalicensing.org
ID 5896115
LAST UPDATED 2024-02-06 06:37:38 UTC
LAST UPDATED 2024-02-06 06:37:38 UTC
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