Indiana
Professional Licensing Agency
Valeri Goutsouliak
Controlled Substance Registration - Physician
License number
01059932B
Date granted
11/05/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Cancer Care Group, P.C., 1215 Hadley Road, Suite 105, Mooresville IN 46158
indianalicensing.org
ID 5897394
LAST UPDATED 2024-05-13 20:19:11 UTC
LAST UPDATED 2024-05-13 20:19:11 UTC
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