Indiana
Professional Licensing Agency
Trisha Ann Imhoff
Controlled Substance Registration - Physician
License number
01071885B
Date granted
05/29/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
402 N. Main Street, Middlebury IN 46540
indianalicensing.org
ID 5894150
LAST UPDATED 2024-01-26 13:32:54 UTC
LAST UPDATED 2024-01-26 13:32:54 UTC
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