Indiana
Professional Licensing Agency
Julie Ellen Becker
Controlled Substance Registration - Physician
License number
01058294B
Date granted
02/11/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Monticello Medical Center, LLC, 826 North Sixth Street, Monticello IN 47960
indianalicensing.org
ID 5896590
LAST UPDATED 2024-04-12 09:27:08 UTC
LAST UPDATED 2024-04-12 09:27:08 UTC
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