Indiana
Professional Licensing Agency
Michael Francis Grantham
Controlled Substance Registration - Physician
License number
01051989B
Date granted
03/16/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895564
LAST UPDATED 2024-04-26 22:18:36 UTC
LAST UPDATED 2024-04-26 22:18:36 UTC
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