License holder summary

Elizabeth Anne Martin is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Elizabeth Anne Martin is VA Northern Indiana Health Care System, 1700 East 38th Stree, 11B, Marion IN 46953-4589. This licensed professional license is not current. The license was granted 08/30/2004 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Elizabeth Anne Martin
Controlled Substance Registration - Physician
License number
01059656B
Date granted
08/30/2004
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
VA Northern Indiana Health Care System, 1700 East 38th Stree, 11B, Marion IN 46953-4589
indianalicensing.org
ID 5887948
LAST UPDATED 2024-04-09 13:52:30 UTC

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