Indiana
Professional Licensing Agency
Julie C Isham
Controlled Substance Registration - Physician
License number
01046208B
Date granted
07/28/1997
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Surrendered
Address
PHYSICIANS PRIMARY CARE, 1804 EAST 10TH STREET, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873313
LAST UPDATED 2024-01-29 20:10:56 UTC
LAST UPDATED 2024-01-29 20:10:56 UTC
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