Tonia Wolf Kusumi

Controlled Substance Registration - Physician

Indiana  01062312C   Expired

This Indiana license was held by Tonia Wolf Kusumi. The license is no longer active. It was granted on 05/22/2009 and expired on 06/30/2011

LICENSE DETAILS

  • License Number: 01062312C
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 05/22/2009 (about 17 years ago)
  • Expiry Date: 06/30/2011 (almost 15 years ago)

LOCATIONS

A Address

Pain Care Center, 2350 W. Boulevard, Kokomo IN 46902