Indiana
Professional Licensing Agency
Heather Ann Macklem
Controlled Substance Registration - Physician
License number
01048989B
Date granted
08/11/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ELKHART FAMILY PHYSICIANS ELKHART CLINIC, 2115 WEST LEXINGTON AVENUE, Elkhart IN 46514
indianalicensing.org
ID 5847342
LAST UPDATED 2024-04-29 13:54:56 UTC
LAST UPDATED 2024-04-29 13:54:56 UTC
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