License holder summary

Clifford Glenn Martin is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Clifford Glenn Martin is Saint Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545. This licensed professional license is current. The license was granted 07/08/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Clifford Glenn Martin
Controlled Substance Registration - Physician
License number
01072884B
Date granted
07/08/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5894739
LAST UPDATED 2024-03-30 23:13:03 UTC

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