License holder summary

Paula Ann Gustafson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Paula Ann Gustafson is FAYETTE MEMORIAL HOSPITAL, 1941 VIRGINIA AVENUE, CONNERSVILLE IN 47331. This licensed professional license is not current. The license was granted 04/03/1997 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

Paula Ann Gustafson
Controlled Substance Registration - Physician
License number
01044150C
Date granted
04/03/1997
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FAYETTE MEMORIAL HOSPITAL, 1941 VIRGINIA AVENUE, CONNERSVILLE IN 47331
indianalicensing.org
ID 5838140
LAST UPDATED 2024-02-07 18:59:56 UTC

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