Indiana
Professional Licensing Agency
Alan Thomas Marty
Controlled Substance Registration - Physician
License number
01028220B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
214 WEST WATER STREET, NEWBURGH IN 47630
indianalicensing.org
ID 5905262
LAST UPDATED 2024-01-30 03:38:38 UTC
LAST UPDATED 2024-01-30 03:38:38 UTC
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