ELLEN VIOLET MICHAEL
Controlled Substance Registration - Physician
Indiana 01033939B Expired
This Indiana license was held by ELLEN VIOLET MICHAEL. The license is no longer active. It was granted on 11/30/1985 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01033939B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/30/1985 (over 39 years ago)
- Expiry Date: 06/30/1995 (almost 30 years ago)
LOCATIONS
A Address
SOUTH LAKE CENTER, 8555 TAFT AVENUE, MERRILLVILLE IN 46410