Indiana
Professional Licensing Agency
Heidi M Bagwell
Controlled Substance Registration - Physician
License number
01060982B
Date granted
03/26/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Honey Grove Family Medicine, 1711 South State Road 135, Suite C, Greenwood IN 46143
indianalicensing.org
ID 5861833
LAST UPDATED 2024-01-07 10:27:14 UTC
LAST UPDATED 2024-01-07 10:27:14 UTC
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