License holder summary

Elizabeth Jill Gallien is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Elizabeth Jill Gallien is 4210 SOUTH DUNLAP ROAD, BLOOMINGTON IN 47403. This licensed professional license is current. The license was granted 04/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Elizabeth Jill Gallien
Controlled Substance Registration - Physician
License number
01023688B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4210 SOUTH DUNLAP ROAD, BLOOMINGTON IN 47403
indianalicensing.org
ID 5824244
LAST UPDATED 2024-02-23 20:03:50 UTC

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