Indiana
Professional Licensing Agency
Terry W Ebert
Controlled Substance Registration - Physician
License number
01022150B
Date granted
10/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
509 RIDGE ROAD, MUNSTER IN 46321
indianalicensing.org
ID 5901629
LAST UPDATED 2024-04-27 03:04:18 UTC
LAST UPDATED 2024-04-27 03:04:18 UTC
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