Indiana
Professional Licensing Agency
Simone Graca Mater
Controlled Substance Registration - Physician
License number
01069228B
Date granted
03/08/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Med Point 24h, 6913 North Main Street, Granger IN 46530
indianalicensing.org
ID 5859745
LAST UPDATED 2024-02-29 21:25:29 UTC
LAST UPDATED 2024-02-29 21:25:29 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.