Indiana
Professional Licensing Agency
Shaily Macker
Controlled Substance Registration - Physician
License number
01072590B
Date granted
05/13/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU HEALTH LAPORTE PHYSICIANS, 156 FLYNN RD, Westville IN 46391
indianalicensing.org
ID 5935136
LAST UPDATED 2024-04-30 18:29:50 UTC
LAST UPDATED 2024-04-30 18:29:50 UTC
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