Indiana
Professional Licensing Agency
Michelle Aileen Thompson
Controlled Substance Registration - Physician
License number
01052033B
Date granted
07/17/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
615 N. Michigan St., South Bend IN 46601
indianalicensing.org
ID 5921786
LAST UPDATED 2024-04-07 00:50:29 UTC
LAST UPDATED 2024-04-07 00:50:29 UTC
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