Indiana
Professional Licensing Agency
Michele Hines
Controlled Substance Registration - Physician
License number
01058831C
Date granted
08/16/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Beacon Health Systems/Elkhart General Hospital, 600 East Boulevard, Elkhart IN 46514
indianalicensing.org
ID 5847979
LAST UPDATED 2024-02-21 06:39:23 UTC
LAST UPDATED 2024-02-21 06:39:23 UTC
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