Indiana
Professional Licensing Agency
Eric Andrew Traister
Controlled Substance Registration - Physician
License number
01072422B
Date granted
06/07/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Sports Medicine Institute, 611 East Douglas Road, Suite 137, Mishawaka IN 46545
indianalicensing.org
ID 5894900
LAST UPDATED 2024-04-15 23:18:07 UTC
LAST UPDATED 2024-04-15 23:18:07 UTC
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