Indiana
Professional Licensing Agency
ELIZABETH BAINES GINGRICH
Controlled Substance Registration - Physician
License number
01043636B
Date granted
07/17/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
MIDDLEBURY FAMILY PHYSICIANS, 206 W WARREN ST P O BOX 459, MIDDLEBURY IN 46540
indianalicensing.org
ID 5894068
LAST UPDATED 2024-04-01 06:01:40 UTC
LAST UPDATED 2024-04-01 06:01:40 UTC
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