Indiana
Professional Licensing Agency
Madeline Rose Lewis
Controlled Substance Registration-Osteopathic Physician
License number
02001093B
Date granted
09/19/1989
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
714 N Michigan Avenue, South Bend IN 46601
indianalicensing.org
ID 5813500
LAST UPDATED 2024-03-05 10:23:11 UTC
LAST UPDATED 2024-03-05 10:23:11 UTC
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