Indiana
Professional Licensing Agency
Myrosia Tomiak Mitchell
Controlled Substance Registration - Physician
License number
01067163B
Date granted
08/12/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Anthony Medical Health Ctr. attn: Medical Staff, 301 W Homer Street, Michigan City IN 46360
indianalicensing.org
ID 5893252
LAST UPDATED 2024-05-02 18:01:55 UTC
LAST UPDATED 2024-05-02 18:01:55 UTC
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