Indiana
Professional Licensing Agency
Anne M Porter
Controlled Substance Registration - Physician
License number
01054767B
Date granted
07/30/2001
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1260 N Stewart Rd, Anderson IN 46012
indianalicensing.org
ID 5816592
LAST UPDATED 2024-04-08 09:59:04 UTC
LAST UPDATED 2024-04-08 09:59:04 UTC
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