Indiana
Professional Licensing Agency
Hendrica Elizabeth Sisk
Controlled Substance Registration - Physician
License number
01034828B
Date granted
12/29/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
South Bend Clinic, 211 North Eddy Street, South Bend IN 46617
indianalicensing.org
ID 5921103
LAST UPDATED 2024-04-14 00:56:08 UTC
LAST UPDATED 2024-04-14 00:56:08 UTC
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