License holder summary

Ellen Diane Rodriguez is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ellen Diane Rodriguez is Heart City Health Center, 236 Simpson Avenue, Elkhart IN 46516. This licensed professional license is current. The license was granted 04/08/2014 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Ellen Diane Rodriguez
Controlled Substance Registration - Physician
License number
01068894B
Date granted
04/08/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Heart City Health Center, 236 Simpson Avenue, Elkhart IN 46516
indianalicensing.org
ID 27704085
LAST UPDATED 2024-02-23 11:31:40 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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