License holder summary

Susan Alice Hoedema Bardwell is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Susan Alice Hoedema Bardwell is Marshall County Pediatrics, 1919 lake Avenue Ste 110, Plymouth IN 46563. This licensed professional license is not current. The license was granted 07/29/2003 and expired on 10/31/2013.

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

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