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
LAST UPDATED 2024-03-08 06:23:19 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.