Indiana
Professional Licensing Agency
Andrea Mernitz
Controlled Substance Registration - Physician
License number
01051166B
Date granted
09/22/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Sandcrest Family Medicine, 3203 Middle Road, Columbus IN 47203
indianalicensing.org
ID 5835781
LAST UPDATED 2024-03-03 04:23:37 UTC
LAST UPDATED 2024-03-03 04:23:37 UTC
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