Indiana
Professional Licensing Agency
Elaine Ristinen
Controlled Substance Registration - Physician
License number
01036345B
Date granted
09/20/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
708 South Woodlawn Avenue, Bloomington IN 47401
indianalicensing.org
ID 5824206
LAST UPDATED 2024-05-10 02:48:31 UTC
LAST UPDATED 2024-05-10 02:48:31 UTC
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