License holder summary

Elizabeth M Faulconer is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Elizabeth M Faulconer is MEMORIAL HOSPITAL OF MICHIGAN, 5TH & PINE STREETS, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 10/09/1987 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

Elizabeth M Faulconer
Controlled Substance Registration - Physician
License number
01035620B
Date granted
10/09/1987
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEMORIAL HOSPITAL OF MICHIGAN, 5TH & PINE STREETS, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892485
LAST UPDATED 2024-03-25 13:37:39 UTC

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