Indiana
Professional Licensing Agency
Michael J. Imburgia
Controlled Substance Registration - Physician
License number
01037609B
Date granted
12/14/1989
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
601 N BROADWAY, MADISON IN 47250
indianalicensing.org
ID 5887030
LAST UPDATED 2026-03-25 06:18:56 UTC
LAST UPDATED 2026-03-25 06:18:56 UTC
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