Elizabeth Rose Dahlberg

Controlled Substance Registration - Physician

Indiana  01071100B   Expired

This Indiana license was held by Elizabeth Rose Dahlberg. The license is no longer active. It was granted on 05/23/2012 and expired on 10/31/2013

LICENSE DETAILS

  • License Number: 01071100B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 05/23/2012 (about 13 years ago)
  • Expiry Date: 10/31/2013 (over 11 years ago)

LOCATIONS

A Address

Old School Pediatrics, 3011 West Smokey Row Road, Bargersville IN 46106-8803