Indiana
Professional Licensing Agency
Brett Bahler Carmichael
Controlled Substance Registration - Physician
License number
01041871B
Date granted
01/25/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
620 W. Edison Road Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5894648
LAST UPDATED 2024-03-06 00:32:55 UTC
LAST UPDATED 2024-03-06 00:32:55 UTC
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