Indiana
Professional Licensing Agency
Rose Marie Gillin
Controlled Substance Registration - Physician
License number
01040912B
Date granted
01/22/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Oaklawn, 330 Lakeview Drive, Goshen IN 46526
indianalicensing.org
ID 5859119
LAST UPDATED 2024-05-13 17:30:40 UTC
LAST UPDATED 2024-05-13 17:30:40 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.