Indiana
Professional Licensing Agency
Ira Mark Levin
Controlled Substance Registration - Physician
License number
01040841B
Date granted
11/23/1992
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
1375 WINTERBERRY CT, TERRE HAUTE IN 47802
indianalicensing.org
ID 5925433
LAST UPDATED 2024-04-04 16:37:43 UTC
LAST UPDATED 2024-04-04 16:37:43 UTC
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