Indiana
Professional Licensing Agency
Pamela Grim
Controlled Substance Registration - Physician
License number
01038696B
Date granted
07/30/1990
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
COMMUNITY HOSP EMERGENCY DEPT, 901 MACARTHUR BOULEVARD, MUNSTER IN 46321
indianalicensing.org
ID 5901127
LAST UPDATED 2024-03-14 06:09:56 UTC
LAST UPDATED 2024-03-14 06:09:56 UTC
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