Indiana
Professional Licensing Agency
Ellen Tesser Antoine
Controlled Substance Registration-Osteopathic Physician
License number
02002887B
Date granted
05/09/2005
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Healthpointe, 12050 North Michigan Road, Zionsville IN 46077
indianalicensing.org
ID 5816173
LAST UPDATED 2024-04-18 02:50:41 UTC
LAST UPDATED 2024-04-18 02:50:41 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.