License holder summary

ELIZABETH BAINES GINGRICH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ELIZABETH BAINES GINGRICH is MIDDLEBURY FAMILY PHYSICIANS, 206 W WARREN ST P O BOX 459, MIDDLEBURY IN 46540. This licensed professional license is current. The license was granted 07/17/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

ELIZABETH BAINES GINGRICH
Controlled Substance Registration - Physician
License number
01043636B
Date granted
07/17/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
MIDDLEBURY FAMILY PHYSICIANS, 206 W WARREN ST P O BOX 459, MIDDLEBURY IN 46540
indianalicensing.org
ID 5894068
LAST UPDATED 2024-04-16 06:21:52 UTC

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