Indiana
Professional Licensing Agency
Bethel Sine
Controlled Substance Registration - Physician
License number
01062351B
Date granted
07/24/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northern Lakes Internal Medicine, 1205 Provident Drive Suite A, Warsaw IN 46580
indianalicensing.org
ID 5932408
LAST UPDATED 2024-04-04 17:20:22 UTC
LAST UPDATED 2024-04-04 17:20:22 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.