Indiana
Professional Licensing Agency
Berta Lisbeth Granados Ortega
Controlled Substance Registration - Physician
License number
01067659B
Date granted
04/13/2010
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Heart City Health Center, 236 Simpson Ave., Elkhart IN 46516
indianalicensing.org
ID 5846690
LAST UPDATED 2024-02-10 15:24:37 UTC
LAST UPDATED 2024-02-10 15:24:37 UTC
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