Indiana
Professional Licensing Agency
Alice Berton Wood
Controlled Substance Registration - Physician
License number
01036491B
Date granted
03/03/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2920 McIntire Dr., Suite 250, Bloomington IN 47403
indianalicensing.org
ID 5823710
LAST UPDATED 2024-03-10 10:15:17 UTC
LAST UPDATED 2024-03-10 10:15:17 UTC
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