Indiana
Professional Licensing Agency
Zelalem Wodajo Kebede
Controlled Substance Registration - Physician
License number
01058145B
Date granted
08/11/2004
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
9247 Broadway Ste B, Merrillville IN 46410
indianalicensing.org
ID 5892002
LAST UPDATED 2026-07-16 14:10:57 UTC
LAST UPDATED 2026-07-16 14:10:57 UTC
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