Indiana
Professional Licensing Agency
Bill L. Martz
Controlled Substance Registration - Physician
License number
01014806B
Date granted
02/28/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
216 WEST TILDEN, BROWNSBURG IN 46112
indianalicensing.org
ID 5828685
LAST UPDATED 2024-02-11 06:05:48 UTC
LAST UPDATED 2024-02-11 06:05:48 UTC
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