Amanda Marie Dornfeld
Controlled Substance Registration - Physician
Indiana 01059524B Active
This Indiana license is held by Amanda Marie Dornfeld. The license is currently active. It was granted on 09/13/2004 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01059524B
- Category: CSR-Physician
- Status: Active
- Date Granted: 09/13/2004 (almost 22 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Sandcrest Family Medicine, 3202 Middle Road, Columbus IN 47203
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