License holder summary

EDWARD A MLADICK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EDWARD A MLADICK is 101 MARILYN AVENUE, GOSHEN IN 46526. This licensed professional license is not current. The license was granted 09/11/1963 and expired on 02/28/1984.

Indiana

Professional Licensing Agency

EDWARD A MLADICK
Controlled Substance Registration - Physician
License number
01020214B
Date granted
09/11/1963
Date expires
02/28/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
101 MARILYN AVENUE, GOSHEN IN 46526
indianalicensing.org
ID 5858584
LAST UPDATED 2024-03-08 12:13:27 UTC

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