Indiana
Professional Licensing Agency
Renuka Mehta
Controlled Substance Registration - Physician
License number
01063017B
Date granted
05/21/2007
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Gateway Hospital / Pediatric Unit - attn: Anita Hagen, 4011 Gateway Blvd., Newburgh IN 47630
indianalicensing.org
ID 5906144
LAST UPDATED 2024-04-01 17:10:41 UTC
LAST UPDATED 2024-04-01 17:10:41 UTC
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