License holder summary

Susan Jean Hines is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Susan Jean Hines is GOSHEN GENERAL HOSPITAL, 200 HIGH PARK AVENUE, GOSHEN IN 46526. This licensed professional license is not current. The license was granted 09/14/1990 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

Susan Jean Hines
Controlled Substance Registration - Physician
License number
01038737B
Date granted
09/14/1990
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GOSHEN GENERAL HOSPITAL, 200 HIGH PARK AVENUE, GOSHEN IN 46526
indianalicensing.org
ID 5859196
LAST UPDATED 2024-05-05 05:31:05 UTC

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