Indiana
Professional Licensing Agency
VICKI LOU HACKMAN
Controlled Substance Registration - Physician
License number
01034619B
Date granted
10/25/1985
Date expires
10/31/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
220 BLOOMINGDALE DRIVE, BRISTOL IN 46507
indianalicensing.org
ID 5828044
LAST UPDATED 2024-03-09 20:17:00 UTC
LAST UPDATED 2024-03-09 20:17:00 UTC
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