Indiana
Professional Licensing Agency
Ann Marie Hennessey
Controlled Substance Registration - Physician
License number
01052726B
Date granted
08/03/2000
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
NEW CASTLE PEDIATRICS PC, 1000 NORTH 16TH STREET SUITE G10, New Castle IN 47362
indianalicensing.org
ID 5904271
LAST UPDATED 2024-02-13 04:43:08 UTC
LAST UPDATED 2024-02-13 04:43:08 UTC
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