Indiana
Professional Licensing Agency
Warren J Pevnick
Controlled Substance Registration-Osteopathic Physician
License number
02003364B
Date granted
05/28/2008
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
State of the Heart Hospice, 410 W Votaw Street, Portland IN 47371
indianalicensing.org
ID 5811897
LAST UPDATED 2024-01-10 12:40:18 UTC
LAST UPDATED 2024-01-10 12:40:18 UTC
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