Larissa M Dimitrov
Controlled Substance Registration - Physician
Indiana 01062576C Active
This Indiana license is held by Larissa M Dimitrov. The license is currently active. It was granted on 10/16/2013 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01062576C
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/16/2013 (over 11 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
MedExpress Urgent Care - Marion, 1130 North Baldwin Avenue, Marion IN 46952-2536
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