Indiana
Professional Licensing Agency
Amy Elizabeth Banter
Controlled Substance Registration - Physician
License number
01045411B
Date granted
08/26/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
14540 Prairie Lakes Blvd., Suite 102, Noblesville IN 46060
indianalicensing.org
ID 5906636
LAST UPDATED 2024-04-13 19:11:42 UTC
LAST UPDATED 2024-04-13 19:11:42 UTC
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