Indiana
Professional Licensing Agency
James MacDonald
Controlled Substance Registration - Physician
License number
01073258B
Date granted
10/15/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Regional Medical Ctr., 5215 Holy Cross Pkwy, Mishawaka IN 46545
indianalicensing.org
ID 11956965
LAST UPDATED 2024-03-15 02:11:16 UTC
LAST UPDATED 2024-03-15 02:11:16 UTC
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