Indiana
Professional Licensing Agency
Eric B. Nussbaum
Controlled Substance Registration - Physician
License number
01066247B
Date granted
02/05/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Mary Medical Center, 1500 S. Lake Park Ave., Hobart IN 46342
indianalicensing.org
ID 5867138
LAST UPDATED 2024-04-09 19:00:59 UTC
LAST UPDATED 2024-04-09 19:00:59 UTC
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