Indiana
Professional Licensing Agency
Michael Robert Burt
Controlled Substance Registration - Physician
License number
01022687B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9346 Timberline Way, Indianapolis IN 46256
indianalicensing.org
ID 5870252
LAST UPDATED 2024-01-31 15:16:55 UTC
LAST UPDATED 2024-01-31 15:16:55 UTC
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