Indiana
Professional Licensing Agency
Michael Hall Phelps
Controlled Substance Registration - Physician
License number
01047317B
Date granted
07/25/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5300 State Road 64, Suite 101, Georgetown IN 47122
indianalicensing.org
ID 5858157
LAST UPDATED 2024-03-27 21:33:46 UTC
LAST UPDATED 2024-03-27 21:33:46 UTC
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