Indiana
Professional Licensing Agency
Melinda Jeannie Jamie Gruber
Controlled Substance Registration - Physician
License number
01045418B
Date granted
08/05/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
SANTAS MEDICAL CENTER, 92 WEST CHRISTMAS BOULEVARD, SANTA CLAUS IN 47579
indianalicensing.org
ID 5916855
LAST UPDATED 2024-03-02 23:58:54 UTC
LAST UPDATED 2024-03-02 23:58:54 UTC
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