License holder summary

MARSHALL CORYDON LEWIS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARSHALL CORYDON LEWIS is SAINT MARGARET MERCY HEALTHCARE CTR N, 5454 HOHMAN AAVENUE PEDIATRIC, HAMMOND IN 46320. This licensed professional license is not current. The license was granted 06/29/1995 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

MARSHALL CORYDON LEWIS
Controlled Substance Registration - Physician
License number
01043897B
Date granted
06/29/1995
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SAINT MARGARET MERCY HEALTHCARE CTR N, 5454 HOHMAN AAVENUE PEDIATRIC, HAMMOND IN 46320
indianalicensing.org
ID 5864619
LAST UPDATED 2024-03-04 19:10:02 UTC

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