Indiana
Professional Licensing Agency
Michael Edward Israel
Controlled Substance Registration - Physician
License number
01056102B
Date granted
05/02/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
King's Daughters' Health, 1373 East State Road 62, Madison IN 47250
indianalicensing.org
ID 5887021
LAST UPDATED 2024-04-13 08:08:31 UTC
LAST UPDATED 2024-04-13 08:08:31 UTC
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