Xunrong Luo
Controlled Substance Registration - Physician
Indiana 01064801B Active
This Indiana license is held by Xunrong Luo. The license is currently active. It was granted on 03/10/2008 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01064801B
- Category: CSR-Physician
- Status: Active
- Date Granted: 03/10/2008 (over 18 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
3691 Willowcreek Road Suite 100, Portage IN 46368
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