License holder summary

MICHAEL LEWIS MC ARDLE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MICHAEL LEWIS MC ARDLE is 7601 WEST JEFFERSON BLVD, P O BOX 2526, FORT WAYNE IN 46801. This licensed professional license is current. The license was granted 02/28/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

MICHAEL LEWIS MC ARDLE
Controlled Substance Registration - Physician
License number
01021199B
Date granted
02/28/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
7601 WEST JEFFERSON BLVD, P O BOX 2526, FORT WAYNE IN 46801
indianalicensing.org
ID 5854047
LAST UPDATED 2024-02-23 02:35:21 UTC

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