Indiana
Professional Licensing Agency
Emma Louise Long
Controlled Substance Registration - Physician
License number
01045980B
Date granted
02/21/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
North Webster Medical Center, 614 N. Main Street, North Webster IN 46555
indianalicensing.org
ID 5907907
LAST UPDATED 2024-02-28 11:49:17 UTC
LAST UPDATED 2024-02-28 11:49:17 UTC
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