Indiana
Professional Licensing Agency
Ann M. Auburn
Controlled Substance Registration-Osteopathic Physician
License number
02002759B
Date granted
04/30/2004
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Crossroads Healing Arts, 21764 Omega Ct., Goshen IN 46528
indianalicensing.org
ID 5801491
LAST UPDATED 2024-03-15 07:43:40 UTC
LAST UPDATED 2024-03-15 07:43:40 UTC
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