Indiana
Professional Licensing Agency
John E. Mc Collum
Controlled Substance Registration - Physician
License number
01032427B
Date granted
06/30/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1601 E. Whiskey Run Road, New Salisbury IN 47161
indianalicensing.org
ID 5905128
LAST UPDATED 2024-03-14 19:04:50 UTC
LAST UPDATED 2024-03-14 19:04:50 UTC
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