License holder summary

Mini Sra is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mini Sra is Saint Joseph Regional Medical Ctr., 5215 Holy Cross Pkwy, Mishawaka IN 46545. This licensed professional license is current. The license was granted 05/06/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mini Sra
Controlled Substance Registration - Physician
License number
01072359B
Date granted
05/06/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Joseph Regional Medical Ctr., 5215 Holy Cross Pkwy, Mishawaka IN 46545
indianalicensing.org
ID 5895647
LAST UPDATED 2024-03-28 09:58:45 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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