Indiana
Professional Licensing Agency
Julia Marie Eckert
Controlled Substance Registration - Physician
License number
01050694B
Date granted
05/28/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1210 Provident Drive, Ste A, Warsaw IN 46580
indianalicensing.org
ID 5932648
LAST UPDATED 2024-04-16 20:47:22 UTC
LAST UPDATED 2024-04-16 20:47:22 UTC
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