Indiana
Professional Licensing Agency
UNGSANA ITTEMAKIN
Controlled Substance Registration - Physician
License number
01028861B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ST ANTHONY HOSPITAL, 1201 SOUTH MAIN STREET, CROWN POINT IN 46307
indianalicensing.org
ID 5842027
LAST UPDATED 2024-03-19 14:30:50 UTC
LAST UPDATED 2024-03-19 14:30:50 UTC
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