Indiana
Professional Licensing Agency
Kim Marie Weber
Controlled Substance Registration - Physician
License number
01045014B
Date granted
04/25/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4829 North State Road 1, P. O. Box 189, Hagerstown IN 47346
indianalicensing.org
ID 5863213
LAST UPDATED 2024-02-16 06:02:06 UTC
LAST UPDATED 2024-02-16 06:02:06 UTC
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