Indiana
Professional Licensing Agency
MICHELLE ANN KALLENBORN
Controlled Substance Registration-Osteopathic Physician
License number
02001741B
Date granted
06/28/1996
Date expires
06/30/2007
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST MARGARET MERCY HEALTHCARE CTR ED, ATTN: EMERGENCY ROOM 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5802776
LAST UPDATED 2026-03-24 10:51:47 UTC
LAST UPDATED 2026-03-24 10:51:47 UTC
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