Indiana
Professional Licensing Agency
Amber Marie Passini
Controlled Substance Registration - Physician
License number
01067015B
Date granted
07/31/2009
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Crossroads Healing Arts, 21764 Omega Court, Goshen IN 46528
indianalicensing.org
ID 5858246
LAST UPDATED 2024-04-12 12:20:50 UTC
LAST UPDATED 2024-04-12 12:20:50 UTC
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