Indiana
Professional Licensing Agency
Amarilys J. Heredia
Controlled Substance Registration - Physician
License number
01053437B
Date granted
05/08/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northside Anesthesia Services, LLC, 9899 E 126th Street, Fishers IN 46038
indianalicensing.org
ID 5851695
LAST UPDATED 2024-04-21 11:31:23 UTC
LAST UPDATED 2024-04-21 11:31:23 UTC
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