License holder summary

Mary Lantz Burgeson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mary Lantz Burgeson is 407 E. 22nd Street, Huntingburg IN 47542. This licensed professional license is current. The license was granted 08/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mary Lantz Burgeson
Controlled Substance Registration - Physician
License number
01028935B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
407 E. 22nd Street, Huntingburg IN 47542
indianalicensing.org
ID 5868356
LAST UPDATED 2024-03-07 21:36:33 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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