Indiana
Professional Licensing Agency
David Michelson
Controlled Substance Registration - Physician
License number
01045983B
Date granted
04/16/1997
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1264 CLAY SPRING DRIVE, CARMEL IN 46032
indianalicensing.org
ID 5830212
LAST UPDATED 2024-03-20 05:27:32 UTC
LAST UPDATED 2024-03-20 05:27:32 UTC
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