Indiana
Professional Licensing Agency
Michael Richard Burt
Controlled Substance Registration - Physician
License number
01028368B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
CHS Pediatrics, 205 N. Tillotson Avenue, Muncie IN 47304
indianalicensing.org
ID 5898984
LAST UPDATED 2024-02-26 15:27:38 UTC
LAST UPDATED 2024-02-26 15:27:38 UTC
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