Indiana
Professional Licensing Agency
Vijay Girijan Menon
Controlled Substance Registration - Physician
License number
01070376B
Date granted
10/28/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Mary Medical Center, 1500 S Lake Park Avenue, Hobart IN 46342
indianalicensing.org
ID 5867848
LAST UPDATED 2024-02-22 23:25:03 UTC
LAST UPDATED 2024-02-22 23:25:03 UTC
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