Indiana
Professional Licensing Agency
Vivek Mishra
Controlled Substance Registration - Physician
License number
01060036C
Date granted
10/11/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter Memorial Hospital, 825 E Lincolnway, Valparaiso IN 46383
indianalicensing.org
ID 5930217
LAST UPDATED 2024-03-08 12:34:41 UTC
LAST UPDATED 2024-03-08 12:34:41 UTC
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