Indiana
Professional Licensing Agency
Sarah Ann Bancroft
Controlled Substance Registration-Osteopathic Physician
License number
02004209B
Date granted
05/20/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
IU LaPorte Hospital, 1007 Lincolnway, La Porte IN 46350
indianalicensing.org
ID 5806875
LAST UPDATED 2024-05-20 05:48:41 UTC
LAST UPDATED 2024-05-20 05:48:41 UTC
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