Indiana
Professional Licensing Agency
Susan Jean Hines
Controlled Substance Registration - Physician
License number
01038737B
Date granted
09/14/1990
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GOSHEN GENERAL HOSPITAL, 200 HIGH PARK AVENUE, GOSHEN IN 46526
indianalicensing.org
ID 5859196
LAST UPDATED 2024-05-02 17:34:12 UTC
LAST UPDATED 2024-05-02 17:34:12 UTC
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