Indiana
Professional Licensing Agency
Mark Alexander Mathurin
Controlled Substance Registration - Physician
License number
01070850B
Date granted
08/08/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Methodist Hospital, 600 Grant Street, Gary IN 46402
indianalicensing.org
ID 5856959
LAST UPDATED 2024-04-06 06:23:48 UTC
LAST UPDATED 2024-04-06 06:23:48 UTC
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