License holder summary

Mara Divis is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Mara Divis is Memorial Family Medicine, 714 N Michigan Street, South Bend IN 46601. This licensed professional license is current. The license was granted 08/23/2010 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mara Divis
Controlled Substance Registration-Osteopathic Physician
License number
02003631B
Date granted
08/23/2010
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Memorial Family Medicine, 714 N Michigan Street, South Bend IN 46601
indianalicensing.org
ID 5813509
LAST UPDATED 2026-06-13 05:17:09 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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