Indiana
Professional Licensing Agency
John F. Mamon
Controlled Substance Registration - Physician
License number
01036734B
Date granted
06/09/1988
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
OUR LADY OF MERCY HOSPITAL, U S HIGHWAY 30, DYER IN 46311
indianalicensing.org
ID 5844352
LAST UPDATED 2024-03-05 01:54:31 UTC
LAST UPDATED 2024-03-05 01:54:31 UTC
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