Indiana
Professional Licensing Agency
Aleah Pendergraff Gibson
Controlled Substance Registration - Physician
License number
01062453B
Date granted
10/16/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Deaconess Clinic, 4015 Gateway Blvd Suite 3000, Newburgh IN 47630
indianalicensing.org
ID 5905268
LAST UPDATED 2024-03-06 18:51:17 UTC
LAST UPDATED 2024-03-06 18:51:17 UTC
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