Indiana
Professional Licensing Agency
Ana Maria Spence
Controlled Substance Registration - Physician
License number
01054663B
Date granted
08/02/2001
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4199 GATEWAY BLVD SUITE 2600, Newburgh IN 47630
indianalicensing.org
ID 5905303
LAST UPDATED 2024-03-18 17:28:22 UTC
LAST UPDATED 2024-03-18 17:28:22 UTC
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