Indiana
Professional Licensing Agency
Mark Alan Martin
Controlled Substance Registration-Osteopathic Physician
License number
02002206B
Date granted
07/14/2000
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
4405 Bellemeade Avenue, Ste 102, Evansville IN 47714
indianalicensing.org
ID 5799696
LAST UPDATED 2024-04-29 06:19:23 UTC
LAST UPDATED 2024-04-29 06:19:23 UTC
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