Indiana
Professional Licensing Agency
Charles E. Montgomery
Controlled Substance Registration - Physician
License number
01022822B
Date granted
02/28/1975
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2409 Hastye Hyll, Logansport IN 46947
indianalicensing.org
ID 5884790
LAST UPDATED 2024-01-31 23:42:08 UTC
LAST UPDATED 2024-01-31 23:42:08 UTC
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