Indiana
Professional Licensing Agency
Anne Kowatsch Clark
Controlled Substance Registration - Physician
License number
01070944B
Date granted
05/15/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Hope Family Health Center, 163 Butner Drive, Hope IN 47246
indianalicensing.org
ID 5868009
LAST UPDATED 2024-03-04 12:41:14 UTC
LAST UPDATED 2024-03-04 12:41:14 UTC
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