Indiana
Professional Licensing Agency
Cheryl Frances MacDonald
Controlled Substance Registration - Physician
License number
01035524C
Date granted
07/22/1996
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MAIN STREET MEDICAL GROUP, 6913 N MAIN STREET, GRANGER IN 46530
indianalicensing.org
ID 5859441
LAST UPDATED 2024-02-07 18:55:58 UTC
LAST UPDATED 2024-02-07 18:55:58 UTC
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