Indiana
Professional Licensing Agency
Mary Jane Howard
Controlled Substance Registration - Physician
License number
01022313B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6781 Berean Road, Martinsville IN 46151
indianalicensing.org
ID 5889248
LAST UPDATED 2024-03-29 16:02:31 UTC
LAST UPDATED 2024-03-29 16:02:31 UTC
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