Indiana
Professional Licensing Agency
Karin Plym Forshell
Controlled Substance Registration - Physician
License number
01028807B
Date granted
03/27/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Mary Medical Willow Creek Health, 3170 Willowcreek Rd, Portage IN 46368
indianalicensing.org
ID 5911105
LAST UPDATED 2024-03-03 14:38:20 UTC
LAST UPDATED 2024-03-03 14:38:20 UTC
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