Indiana
Professional Licensing Agency
Ward Elias Poulos
Controlled Substance Registration - Physician
License number
01023973B
Date granted
08/10/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
EAGLE MEDICAL BUILDING, 3850 SHORE DRIVE #117, INDIANAPOLIS IN 46254
indianalicensing.org
ID 5871021
LAST UPDATED 2024-02-13 17:58:10 UTC
LAST UPDATED 2024-02-13 17:58:10 UTC
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