Indiana
Professional Licensing Agency
Melody Ann Gongwer
Controlled Substance Registration - Physician
License number
01051287B
Date granted
09/16/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Mental Health Center, Inc., 285 Bielby Road, Lawrenceburg IN 47025
indianalicensing.org
ID 5882809
LAST UPDATED 2024-03-13 18:44:56 UTC
LAST UPDATED 2024-03-13 18:44:56 UTC
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