Indiana
Professional Licensing Agency
DONALD LANE MARTIN
Controlled Substance Registration - Physician
License number
01022516B
Date granted
11/17/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 289, 304 E MARKET STREET, SALEM IN 47167
indianalicensing.org
ID 5916558
LAST UPDATED 2024-03-11 05:28:40 UTC
LAST UPDATED 2024-03-11 05:28:40 UTC
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