ELLEN VIOLET MICHAEL
Controlled Substance Registration - Physician
Indiana 01033939C Expired
This Indiana license was held by ELLEN VIOLET MICHAEL. The license is no longer active. It was granted on 08/07/1987 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01033939C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/07/1987 (almost 38 years ago)
- Expiry Date: 06/30/1995 (almost 30 years ago)
LOCATIONS
A Address
821 E LAKE FRONT DRIVE, BEVERLY SHORES IN 46301