Indiana
Professional Licensing Agency
Michael Anthony Henderson
Controlled Substance Registration-Osteopathic Physician
License number
02002680B
Date granted
09/26/2003
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Goshen General Hospital, 200 High Park Avenue, Goshen IN 46526
indianalicensing.org
ID 5801608
LAST UPDATED 2024-04-01 06:34:33 UTC
LAST UPDATED 2024-04-01 06:34:33 UTC
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