License holder summary

Cheryl Ann Clark is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Cheryl Ann Clark is Elkhart General Hospital, 600 East Boulevard, Elkhart IN 46514. This licensed professional license is not current. The license was granted 08/03/2012 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Cheryl Ann Clark
Controlled Substance Registration - Physician
License number
01071531B
Date granted
08/03/2012
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Elkhart General Hospital, 600 East Boulevard, Elkhart IN 46514
indianalicensing.org
ID 5846792
LAST UPDATED 2024-04-14 00:43:50 UTC

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