Indiana
Professional Licensing Agency
Charles Stanley Marting
Controlled Substance Registration-Osteopathic Physician
License number
02002089B
Date granted
07/28/1999
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Northern Lakes Internal Medicine, 1205 Provident Drive, Ste A, Warsaw IN 46580
indianalicensing.org
ID 5815391
LAST UPDATED 2026-06-13 11:10:26 UTC
LAST UPDATED 2026-06-13 11:10:26 UTC
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