Indiana
Professional Licensing Agency
Janet Susan Libbing Prendergast
Controlled Substance Registration-Osteopathic Physician
License number
02002526B
Date granted
07/25/2002
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
1270 East State Road 205, Suite 210, Columbia City IN 46725
indianalicensing.org
ID 5796930
LAST UPDATED 2024-05-21 01:20:20 UTC
LAST UPDATED 2024-05-21 01:20:20 UTC
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