License holder summary

Melissa Anne Hickey is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Melissa Anne Hickey is South Bend Clinic Granger Pediatrics, 52500 Fir Road, Granger IN 46530. This licensed professional license is current. The license was granted 06/10/2010 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Melissa Anne Hickey
Controlled Substance Registration - Physician
License number
01068352B
Date granted
06/10/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
South Bend Clinic Granger Pediatrics, 52500 Fir Road, Granger IN 46530
indianalicensing.org
ID 5859595
LAST UPDATED 2024-03-08 06:23:19 UTC

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