License holder summary

Mark Edward Bauman is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Edward Bauman is Bloomington Hospital, 601 West Second Street, Bloomington IN 47403. This licensed professional license is not current. The license was granted 07/01/1997 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Mark Edward Bauman
Controlled Substance Registration - Physician
License number
01041172B
Date granted
07/01/1997
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Bloomington Hospital, 601 West Second Street, Bloomington IN 47403
indianalicensing.org
ID 5825180
LAST UPDATED 2024-03-16 17:34:18 UTC

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