Indiana
Professional Licensing Agency
James A. Mace
Controlled Substance Registration - Physician
License number
01059208B
Date granted
08/02/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
8550 Belle Union Ct., Camby IN 46113
indianalicensing.org
ID 5829476
LAST UPDATED 2024-02-04 07:44:24 UTC
LAST UPDATED 2024-02-04 07:44:24 UTC
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