Indiana
Professional Licensing Agency
TU T BUI
Controlled Substance Registration - Physician
License number
01051012B
Date granted
05/08/2001
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST JOSEPH REGIONAL MEDICAL CENTER, 837 EAST CEDAR STREET STE 125, South Bend IN 46617
indianalicensing.org
ID 5922455
LAST UPDATED 2024-02-01 02:37:31 UTC
LAST UPDATED 2024-02-01 02:37:31 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.