Indiana
Professional Licensing Agency
KATHLEEN R MARTIN
Controlled Substance Registration - Physician
License number
01036173B
Date granted
09/02/1987
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
WASH CO MEMORIAL HOSPITAL, P O BOX 171, SALEM IN 47167
indianalicensing.org
ID 5916695
LAST UPDATED 2024-04-16 00:27:52 UTC
LAST UPDATED 2024-04-16 00:27:52 UTC
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