Indiana
Professional Licensing Agency
Eric Douglas Tripp
Controlled Substance Registration - Physician
License number
01040707B
Date granted
09/14/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northwest Family Medicine, 2930 West Cleveland Road, South Bend IN 46628
indianalicensing.org
ID 5920883
LAST UPDATED 2024-04-16 17:56:02 UTC
LAST UPDATED 2024-04-16 17:56:02 UTC
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