License holder summary

JEFF A MARK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JEFF A MARK is 515 SOUTH SECOND STREET, Elkhart IN 46516. This licensed professional license is current. The license was granted 05/22/1991 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

JEFF A MARK
Controlled Substance Registration - Physician
License number
01039223B
Date granted
05/22/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
515 SOUTH SECOND STREET, Elkhart IN 46516
indianalicensing.org
ID 5847491
LAST UPDATED 2024-03-06 12:11:34 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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