Indiana
Professional Licensing Agency
Genevieve Marie Maloney
Controlled Substance Registration - Physician
License number
01050953C
Date granted
06/03/2005
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Healthy Family Center, 201 Lincoln Way West, Mishawaka IN 46544
indianalicensing.org
ID 5894957
LAST UPDATED 2024-02-23 18:58:56 UTC
LAST UPDATED 2024-02-23 18:58:56 UTC
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