Indiana
Professional Licensing Agency
John T. Mahan
Controlled Substance Registration - Physician
License number
01046539B
Date granted
05/14/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Clark Memorial Hospital, 1220 Missouri Avenue, Jeffersonville IN 47130
indianalicensing.org
ID 5873211
LAST UPDATED 2024-04-18 12:23:45 UTC
LAST UPDATED 2024-04-18 12:23:45 UTC
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