License holder summary

EDWARD WILLIAM MC NAMARA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EDWARD WILLIAM MC NAMARA is BOX 1360 LAKE SHORE DRIVE, CEDAR LAKE IN 46303. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 02/28/1987.

Indiana

Professional Licensing Agency

EDWARD WILLIAM MC NAMARA
Controlled Substance Registration - Physician
License number
01018483B
Date granted
02/28/1986
Date expires
02/28/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BOX 1360 LAKE SHORE DRIVE, CEDAR LAKE IN 46303
indianalicensing.org
ID 5832614
LAST UPDATED 2024-02-13 05:22:03 UTC

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