Indiana
Professional Licensing Agency
George Mauzy Underwood
Controlled Substance Registration - Physician
License number
01017785B
Date granted
09/30/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2323 FERRY STREET #101, LAFAYETTE IN 47904
indianalicensing.org
ID 5879435
LAST UPDATED 2024-04-09 12:43:44 UTC
LAST UPDATED 2024-04-09 12:43:44 UTC
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