Indiana
Professional Licensing Agency
Colleen Catherine Root
Controlled Substance Registration - Physician
License number
01050931B
Date granted
07/28/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Vincent Physician Network, 12708 East 116th Street, Fishers IN 46038
indianalicensing.org
ID 5851757
LAST UPDATED 2024-03-04 21:43:05 UTC
LAST UPDATED 2024-03-04 21:43:05 UTC
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