Indiana
Professional Licensing Agency
Michele Terese Sproviero
Controlled Substance Registration - Physician
License number
01060749B
Date granted
07/18/2005
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8701 Broadway, Merrillville IN 46410
indianalicensing.org
ID 5891088
LAST UPDATED 2026-05-23 10:53:12 UTC
LAST UPDATED 2026-05-23 10:53:12 UTC
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