Indiana
Professional Licensing Agency
Michael Thomas Isenberg
Controlled Substance Registration - Physician
License number
01024412B
Date granted
06/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Lutheran Medical Group, LLC, 7900 WEST JEFFERSON SUITE 201, FORT WAYNE IN 46804
indianalicensing.org
ID 5854075
LAST UPDATED 2024-03-16 16:34:48 UTC
LAST UPDATED 2024-03-16 16:34:48 UTC
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