Indiana
Professional Licensing Agency
Edie P. Shen
Controlled Substance Registration - Physician
License number
01057621B
Date granted
05/14/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St Margaret's Mercy Hospital, 5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5863850
LAST UPDATED 2024-02-17 09:54:09 UTC
LAST UPDATED 2024-02-17 09:54:09 UTC
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