Indiana
Professional Licensing Agency
ANTWAN MARDINI
Controlled Substance Registration - Physician
License number
01048595B
Date granted
04/30/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1530 North 7th Street Suite 111, Terre Haute IN 47807
indianalicensing.org
ID 5924673
LAST UPDATED 2024-03-24 16:20:28 UTC
LAST UPDATED 2024-03-24 16:20:28 UTC
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