Indiana
Professional Licensing Agency
Amy Rachelle Wooldridge
Controlled Substance Registration - Physician
License number
01058321B
Date granted
05/25/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northeast Medical Group, One Memorial square Ste 305, Greenfield IN 46140
indianalicensing.org
ID 5860100
LAST UPDATED 2024-04-23 07:32:13 UTC
LAST UPDATED 2024-04-23 07:32:13 UTC
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