Indiana
Professional Licensing Agency
Heath A. Spence
Controlled Substance Registration - Physician
License number
01040615C
Date granted
06/02/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Hospital- Attn: Robin Mitzelfelt Credentialing, 1907 West Sycamore St., Kokomo IN 46901
indianalicensing.org
ID 5876123
LAST UPDATED 2024-03-01 14:00:40 UTC
LAST UPDATED 2024-03-01 14:00:40 UTC
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