License holder summary

Kimberly Sue Eltzroth is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kimberly Sue Eltzroth is THE MEDICAL GROUP OF MICHIGAN CITY PC, 1225 EAST COOLSPRING AVENUE, Michigan City IN 46360. This licensed professional license is not current. The license was granted 07/26/2001 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Kimberly Sue Eltzroth
Controlled Substance Registration - Physician
License number
01054714B
Date granted
07/26/2001
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
THE MEDICAL GROUP OF MICHIGAN CITY PC, 1225 EAST COOLSPRING AVENUE, Michigan City IN 46360
indianalicensing.org
ID 5892969
LAST UPDATED 2024-04-20 05:34:09 UTC

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