Indiana
Professional Licensing Agency
Theresa Renee Cruthird
Controlled Substance Registration - Physician
License number
01073502B
Date granted
02/10/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Regional Medical Ctr, Anesthsia, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 27715037
LAST UPDATED 2024-04-14 14:27:09 UTC
LAST UPDATED 2024-04-14 14:27:09 UTC
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