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
LAST UPDATED 2024-03-16 17:34:18 UTC
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