Indiana
Professional Licensing Agency
Dallis Mark Bowditch
Controlled Substance Registration - Physician
License number
01032465B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3400 E Market Street, Logansport IN 46947
indianalicensing.org
ID 5884870
LAST UPDATED 2024-05-16 01:21:02 UTC
LAST UPDATED 2024-05-16 01:21:02 UTC
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