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
LAST UPDATED 2024-04-14 00:43:50 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.