Indiana
Professional Licensing Agency
Melanie Brooke Gatewood
Controlled Substance Registration - Physician
License number
01068936B
Date granted
06/09/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
SJPN Community Pediatric Physicians, 611 East Douglas Road Suite# 401, Mishawaka IN 46545
indianalicensing.org
ID 5895547
LAST UPDATED 2024-03-20 11:38:45 UTC
LAST UPDATED 2024-03-20 11:38:45 UTC
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