Roman Puliaev
Controlled Substance Registration - Physician
Indiana 01071455B Active
This Indiana license is held by Roman Puliaev. The license is currently active. It was granted on 07/19/2012 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01071455B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/19/2012 (almost 13 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Franciscan St Margaret Health- Specialty Health Clinic, 24 Joliet Street , Ste 101, Dyer IN 46311
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