Indiana
Professional Licensing Agency
Mark Edward Gentry
Controlled Substance Registration - Physician
License number
01036942B
Date granted
07/21/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
New Life Associates, P.C., 112 Hospital Lane, Suite 200, Danville IN 46122
indianalicensing.org
ID 5842731
LAST UPDATED 2024-03-28 17:27:17 UTC
LAST UPDATED 2024-03-28 17:27:17 UTC
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