License holder summary

ANNETTE G BURST is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ANNETTE G BURST is 10509 OAK TRAIL, Fort Wayne IN 46845. This licensed professional license is not current. The license was granted 02/14/2000 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

ANNETTE G BURST
Controlled Substance Registration - Physician
License number
01023829B
Date granted
02/14/2000
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
10509 OAK TRAIL, Fort Wayne IN 46845
indianalicensing.org
ID 5852947
LAST UPDATED 2024-02-16 08:33:14 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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