Paula Ann Gustafson

Controlled Substance Registration - Physician

Indiana  01044150B   Active

This Indiana license is held by Paula Ann Gustafson. The license is currently active. It was granted on 04/03/1997 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01044150B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 04/03/1997 (over 28 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

30 West Rampart Street Suite 170, Shelbyville IN 46176