License holder summary

ELLEN VIOLET MICHAEL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ELLEN VIOLET MICHAEL is 821 E LAKE FRONT DRIVE, BEVERLY SHORES IN 46301. This licensed professional license is not current. The license was granted 08/07/1987 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

ELLEN VIOLET MICHAEL
Controlled Substance Registration - Physician
License number
01033939C
Date granted
08/07/1987
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
821 E LAKE FRONT DRIVE, BEVERLY SHORES IN 46301
indianalicensing.org
ID 5823360
LAST UPDATED 2024-04-27 15:38:10 UTC

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