Indiana
Professional Licensing Agency
Sherrie Cecile Godbolt
Controlled Substance Registration - Physician
License number
01048641B
Date granted
10/01/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Edgewater Systems for Balance Living, 1100 West 6th Avenue, Gary IN 46402
indianalicensing.org
ID 5857521
LAST UPDATED 2024-04-16 11:22:03 UTC
LAST UPDATED 2024-04-16 11:22:03 UTC
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