Indiana
Professional Licensing Agency
Katrina K McGillivray
Controlled Substance Registration-Osteopathic Physician
License number
02001532B
Date granted
03/31/1994
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
2326 18th Street Suite 210, Columbus IN 47201
indianalicensing.org
ID 5796955
LAST UPDATED 2024-02-11 16:01:40 UTC
LAST UPDATED 2024-02-11 16:01:40 UTC
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