Indiana
Professional Licensing Agency
Melissa R. Zimmer
Controlled Substance Registration - Physician
License number
01065508B
Date granted
07/16/2008
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired Non-Renewable
Address
Family Medicine Center, 2120 Reith Blvd., Goshen IN 46526
indianalicensing.org
ID 5858922
LAST UPDATED 2024-03-22 04:20:41 UTC
LAST UPDATED 2024-03-22 04:20:41 UTC
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