Indiana
Professional Licensing Agency
MARK GLENN LEWIS
Controlled Substance Registration - Physician
License number
01038127B
Date granted
02/27/1990
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
COMMUNITY HOSPITAL, 901 MACARTHUR BOULEVARD, MUNSTER IN 46321
indianalicensing.org
ID 5900926
LAST UPDATED 2024-03-15 07:17:34 UTC
LAST UPDATED 2024-03-15 07:17:34 UTC
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