Indiana
Professional Licensing Agency
Michelle Lynn O'Brien
Controlled Substance Registration - Physician
License number
01070927B
Date granted
04/19/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2400 E 17th St, Columbus IN 47201
indianalicensing.org
ID 5836866
LAST UPDATED 2024-04-03 08:15:51 UTC
LAST UPDATED 2024-04-03 08:15:51 UTC
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