Indiana
Professional Licensing Agency
Heather Anne Nath
Controlled Substance Registration - Physician
License number
01060834B
Date granted
06/16/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3691 Willowcreek Road, Portage IN 46368
indianalicensing.org
ID 5911019
LAST UPDATED 2024-02-19 15:03:04 UTC
LAST UPDATED 2024-02-19 15:03:04 UTC
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