Indiana
Professional Licensing Agency
Sean Michael Rivard
Controlled Substance Registration - Physician
License number
01046823B
Date granted
05/22/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2910 LAKE SHORE DRIVE L B, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893643
LAST UPDATED 2026-04-19 08:38:39 UTC
LAST UPDATED 2026-04-19 08:38:39 UTC
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