Indiana
Professional Licensing Agency
Sarah Jean Hallberg
Controlled Substance Registration-Osteopathic Physician
License number
02002890B
Date granted
02/02/2005
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
1500 Salem Street, Lafayette IN 47904
indianalicensing.org
ID 5807134
LAST UPDATED 2024-01-30 03:18:21 UTC
LAST UPDATED 2024-01-30 03:18:21 UTC
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