Indiana
Professional Licensing Agency
Patricia Gardner
Controlled Substance Registration - Physician
License number
01051974B
Date granted
01/12/2000
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Anthony Memorial Health Ctr., 301 W. Homer St., Michigan City IN 46360
indianalicensing.org
ID 5893328
LAST UPDATED 2024-04-07 17:01:43 UTC
LAST UPDATED 2024-04-07 17:01:43 UTC
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