Indiana
Professional Licensing Agency
Mary Elaine Birch
Controlled Substance Registration - Physician
License number
01043261B
Date granted
06/07/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2255 E Main St., Danville IN 46122
indianalicensing.org
ID 5842812
LAST UPDATED 2024-04-07 03:34:26 UTC
LAST UPDATED 2024-04-07 03:34:26 UTC
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