Emma Louise Long
Controlled Substance Registration - Physician
Indiana 01045980B Active
This Indiana license is held by Emma Louise Long. The license is currently active. It was granted on 02/21/1997 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01045980B
- Category: CSR-Physician
- Status: Active
- Date Granted: 02/21/1997 (over 29 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
North Webster Medical Center, 614 N. Main Street, North Webster IN 46555
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