Indiana
Professional Licensing Agency
Stacey Elizabety Merritt
Controlled Substance Registration - Physician
License number
01041029B
Date granted
02/16/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
624 East Market Street, New Albany IN 47150
indianalicensing.org
ID 5903771
LAST UPDATED 2024-05-22 14:02:37 UTC
LAST UPDATED 2024-05-22 14:02:37 UTC
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