License holder summary

Cheri Diane Dersam is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Cheri Diane Dersam is ST JOHNS MEDICAL CENTER EMERGENCY DEPT, 2015 JACKSON STREET ATTN: PHIL HILGER, Anderson IN 46016. This licensed professional license is not current. The license was granted 06/12/2001 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Cheri Diane Dersam
Controlled Substance Registration - Physician
License number
01054058B
Date granted
06/12/2001
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST JOHNS MEDICAL CENTER EMERGENCY DEPT, 2015 JACKSON STREET ATTN: PHIL HILGER, Anderson IN 46016
indianalicensing.org
ID 5816815
LAST UPDATED 2026-05-29 18:04:19 UTC

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