Indiana
Professional Licensing Agency
URSULA E MITMAN
Controlled Substance Registration - Physician
License number
01022819B
Date granted
02/28/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2700 WILLCREST DRIVE, INDIANAPOLIS IN 46208
indianalicensing.org
ID 5870936
LAST UPDATED 2024-03-06 19:50:58 UTC
LAST UPDATED 2024-03-06 19:50:58 UTC
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