Indiana
Professional Licensing Agency
Erin Elizabeth Leeseberg
Controlled Substance Registration-Osteopathic Physician
License number
02003470B
Date granted
04/01/2009
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Premier Healthcare, LLC, 482 S. Landmark Ave, Bloomington IN 47403
indianalicensing.org
ID 5795430
LAST UPDATED 2024-04-24 14:11:43 UTC
LAST UPDATED 2024-04-24 14:11:43 UTC
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