License holder summary

Michael John Hall is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Michael John Hall is Radiology, Inc., 620 W. Edison Road, Suite 110, Mishawaka IN 46545. This licensed professional license is current. The license was granted 03/20/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Michael John Hall
Controlled Substance Registration - Physician
License number
01063345B
Date granted
03/20/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 W. Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895568
LAST UPDATED 2024-04-19 05:47:29 UTC

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