Indiana
Professional Licensing Agency
Kelly Rae Puster
Controlled Substance Registration - Physician
License number
01057142B
Date granted
01/14/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Elkhart Clinic, LLC, 303 S. Nappanee St., Elkhart IN 46514
indianalicensing.org
ID 5847666
LAST UPDATED 2024-04-18 06:27:26 UTC
LAST UPDATED 2024-04-18 06:27:26 UTC
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