Indiana
Professional Licensing Agency
Grace George
Controlled Substance Registration - Physician
License number
01073229B
Date granted
09/27/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5895019
LAST UPDATED 2024-02-19 19:08:04 UTC
LAST UPDATED 2024-02-19 19:08:04 UTC
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