MICHELLE ANN KALLENBORN
Controlled Substance Registration-Osteopathic Physician
Indiana 02001741B Expired
This Indiana license was held by MICHELLE ANN KALLENBORN. The license is no longer active. It was granted on 06/28/1996 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 02001741B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 06/28/1996 (almost 29 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
ST MARGARET MERCY HEALTHCARE CTR ED, ATTN: EMERGENCY ROOM 5454 HOHMAN AVENUE, HAMMOND IN 46320