Indiana
Professional Licensing Agency
Susan Alice Hoedema Bardwell
Controlled Substance Registration - Physician
License number
01057867B
Date granted
07/29/2003
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Marshall County Pediatrics, 1919 lake Avenue Ste 110, Plymouth IN 46563
indianalicensing.org
ID 5910812
LAST UPDATED 2024-03-07 06:05:13 UTC
LAST UPDATED 2024-03-07 06:05:13 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.