Indiana
Professional Licensing Agency
Rebecca Louise Ferguson
Controlled Substance Registration-Osteopathic Physician
License number
02004090B
Date granted
09/17/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Dale Family Medicine Clinic, 4 East Vine St., Dale IN 47523
indianalicensing.org
ID 5797882
LAST UPDATED 2024-01-31 05:49:42 UTC
LAST UPDATED 2024-01-31 05:49:42 UTC
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