Indiana
Professional Licensing Agency
Mark Thomas Adams
Controlled Substance Registration - Physician
License number
01030200B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
c/o Fort Wayne Pediatrics, 2514 East Dupont Rd., Fort Wayne IN 46825
indianalicensing.org
ID 5853952
LAST UPDATED 2024-05-05 01:47:04 UTC
LAST UPDATED 2024-05-05 01:47:04 UTC
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