Indiana
Professional Licensing Agency
Helen Ann Borgenheimer
Controlled Substance Registration - Physician
License number
01058856B
Date granted
06/24/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Blackford Medical Group, 400 Pilgrim Ave, Hartford City IN 47348
indianalicensing.org
ID 5865973
LAST UPDATED 2024-04-21 08:43:42 UTC
LAST UPDATED 2024-04-21 08:43:42 UTC
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