KONSTANTIN VLADIMIROVICH SLAVIN
Controlled Substance Registration - Physician
Indiana 01054859B Expired
This Indiana license was held by KONSTANTIN VLADIMIROVICH SLAVIN. The license is no longer active. It was granted on 08/10/2001 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01054859B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/10/2001 (almost 24 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
ST MARGARET MERCY, 5454 HOHMAN AVENUE, Hammond IN 46320