Indiana
Professional Licensing Agency
William P. Sullivan
Controlled Substance Registration-Osteopathic Physician
License number
02001489B
Date granted
09/30/1993
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST MARGARET MERCY NORTH / ER, 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5803080
LAST UPDATED 2024-03-12 13:10:19 UTC
LAST UPDATED 2024-03-12 13:10:19 UTC
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