Indiana
Professional Licensing Agency
Earl James Mason
Controlled Substance Registration - Physician
License number
01019257B
Date granted
02/28/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7 Summit Road, Portage IN 46368
indianalicensing.org
ID 5910985
LAST UPDATED 2024-02-01 22:14:19 UTC
LAST UPDATED 2024-02-01 22:14:19 UTC
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