Indiana
Professional Licensing Agency
EDWARD MARK MICON
Physician
License number
01027830A
Date granted
09/16/1977
Date expires
06/30/1984
Class
Physician
Status
Expired Non-Renewable
Address
GREENWOOD IN 46142
indianalicensing.org
ID 6058764
LAST UPDATED 2024-03-01 18:38:29 UTC
LAST UPDATED 2024-03-01 18:38:29 UTC
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