Indiana
Professional Licensing Agency
Isaac E. Michael
Controlled Substance Registration - Physician
License number
01015062B
Date granted
02/28/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2010 W 86TH ST #203, INDIANAPOLIS IN 46260
indianalicensing.org
ID 5869624
LAST UPDATED 2024-04-29 04:32:55 UTC
LAST UPDATED 2024-04-29 04:32:55 UTC
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