Indiana
Professional Licensing Agency
Michele Lillie Coulon Whitt
Controlled Substance Registration - Physician
License number
01059178B
Date granted
05/21/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
810 S. 6th Street, Suite E, Monticello IN 47960
indianalicensing.org
ID 5896610
LAST UPDATED 2024-03-24 19:01:24 UTC
LAST UPDATED 2024-03-24 19:01:24 UTC
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