Indiana
Professional Licensing Agency
WASHINGTON O SUMABAT
Controlled Substance Registration - Physician
License number
01042731B
Date granted
08/29/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Wells Medical Services, 117 SOUTH MAIN STREET, BLUFFTON IN 46714
indianalicensing.org
ID 5827103
LAST UPDATED 2024-04-22 22:04:51 UTC
LAST UPDATED 2024-04-22 22:04:51 UTC
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