Indiana
Professional Licensing Agency
Marc Brinkman Ydenberg
Controlled Substance Registration - Physician
License number
01073432B
Date granted
12/18/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter Regional Hospital, 85 East US Hwy 6, Valparaiso IN 46383
indianalicensing.org
ID 27721573
LAST UPDATED 2024-03-29 15:00:04 UTC
LAST UPDATED 2024-03-29 15:00:04 UTC
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