Indiana
Professional Licensing Agency
Emma Joy Nordstrom
Controlled Substance Registration - Physician
License number
01070698B
Date granted
02/21/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Witham Family Practice, 2705 N Lebanon Street, Suite 300, Lebanon IN 46052
indianalicensing.org
ID 5883738
LAST UPDATED 2024-03-11 07:19:39 UTC
LAST UPDATED 2024-03-11 07:19:39 UTC
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