Indiana
Professional Licensing Agency
Mack Hugh Sullivan
Controlled Substance Registration - Physician
License number
01060981B
Date granted
07/11/2005
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
The Centre, PC, 500 Arcade Avenue, Suite 300, Elkhart IN 46514
indianalicensing.org
ID 5847828
LAST UPDATED 2024-03-09 02:29:42 UTC
LAST UPDATED 2024-03-09 02:29:42 UTC
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