Indiana
Professional Licensing Agency
Karla S. Eisele
Controlled Substance Registration - Physician
License number
01073124B
Date granted
08/27/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Brentwood Meadows LLC, 4488 Roslin RD., Newburgh IN 47630
indianalicensing.org
ID 5905815
LAST UPDATED 2024-04-15 18:29:48 UTC
LAST UPDATED 2024-04-15 18:29:48 UTC
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