License holder summary

Amanda Marie Dornfeld is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Amanda Marie Dornfeld is Sandcrest Family Medicine, 3202 Middle Road, Columbus IN 47203. This licensed professional license is current. The license was granted 09/13/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Amanda Marie Dornfeld
Controlled Substance Registration - Physician
License number
01059524B
Date granted
09/13/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Sandcrest Family Medicine, 3202 Middle Road, Columbus IN 47203
indianalicensing.org
ID 5835750
LAST UPDATED 2024-04-13 09:17:57 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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