Indiana
Professional Licensing Agency
Kristen Taft Hougland
Controlled Substance Registration - Physician
License number
01072126B
Date granted
02/08/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Joseph Regional Medical Center, 5215 Holy Cross Pkwy, Mishawaka IN 46545
indianalicensing.org
ID 27714893
LAST UPDATED 2024-02-25 17:57:24 UTC
LAST UPDATED 2024-02-25 17:57:24 UTC
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