Indiana
Professional Licensing Agency
Jill Howell-Berg
Controlled Substance Registration - Physician
License number
01058138B
Date granted
09/22/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Medical Associates, 2051 Clevidence Blvd, Clarksville IN 47129
indianalicensing.org
ID 5834289
LAST UPDATED 2024-05-11 19:10:38 UTC
LAST UPDATED 2024-05-11 19:10:38 UTC
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