Ejiro Diejomaoh
Controlled Substance Registration - Physician
Indiana 01054182B Expired
This Indiana license was held by Ejiro Diejomaoh. The license is no longer active. It was granted on 12/13/2004 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01054182B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/13/2004 (over 20 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
Porter Hospital, 814 Laporte Ave, Valparaiso IN 46383