Indiana
Professional Licensing Agency
Susan Elizabeth Hartman
Controlled Substance Registration - Physician
License number
01035234B
Date granted
07/03/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
CENTER GROVE FAMILY MEDICINE, 362 MERIDIAN PARKE LANE, GREENWOOD IN 46142
indianalicensing.org
ID 5862686
LAST UPDATED 2024-04-19 04:09:03 UTC
LAST UPDATED 2024-04-19 04:09:03 UTC
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