Indiana
Professional Licensing Agency
Paul Siebenmorgen
Controlled Substance Registration - Physician
License number
01014529B
Date granted
01/31/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1241 Watertree Rd., Terre Haute IN 47803
indianalicensing.org
ID 5926297
LAST UPDATED 2024-05-14 11:45:26 UTC
LAST UPDATED 2024-05-14 11:45:26 UTC
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