Indiana
Professional Licensing Agency
MARY SUSANNE WILLEMS
Controlled Substance Registration - Physician
License number
01037904B
Date granted
10/05/1989
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST MARGARET'S HOSPITAL, 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5864649
LAST UPDATED 2024-04-25 19:15:58 UTC
LAST UPDATED 2024-04-25 19:15:58 UTC
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