Indiana
Professional Licensing Agency
Christy Lynn Annis
Controlled Substance Registration - Physician
License number
01069919B
Date granted
07/18/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5894733
LAST UPDATED 2024-04-15 20:56:26 UTC
LAST UPDATED 2024-04-15 20:56:26 UTC
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