License holder summary

Madeline Rose Lewis is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Madeline Rose Lewis is 714 N Michigan Avenue, South Bend IN 46601. This licensed professional license is current. The license was granted 09/19/1989 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Madeline Rose Lewis
Controlled Substance Registration-Osteopathic Physician
License number
02001093B
Date granted
09/19/1989
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
714 N Michigan Avenue, South Bend IN 46601
indianalicensing.org
ID 5813500
LAST UPDATED 2026-05-15 21:22:51 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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