Indiana
Professional Licensing Agency
AMY KILEY ERTEL
Controlled Substance Registration - Physician
License number
01049468C
Date granted
02/18/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11686 Maple Street, Fishers IN 46038
indianalicensing.org
ID 5851693
LAST UPDATED 2024-04-03 23:57:57 UTC
LAST UPDATED 2024-04-03 23:57:57 UTC
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