Indiana
Professional Licensing Agency
SEEMA MODAK MERNITZ
Controlled Substance Registration - Physician
License number
01047112B
Date granted
05/24/1999
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
14154 Ledgewood Way, Carmel IN 46032
indianalicensing.org
ID 5831955
LAST UPDATED 2024-03-01 20:31:11 UTC
LAST UPDATED 2024-03-01 20:31:11 UTC
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