Indiana
Professional Licensing Agency
Marc Thomas Fields
Controlled Substance Registration - Physician
License number
01050461B
Date granted
06/04/1999
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1881 N IRONWOOD DR, SOUTH BEND IN 46635
indianalicensing.org
ID 5921623
LAST UPDATED 2024-04-11 09:01:57 UTC
LAST UPDATED 2024-04-11 09:01:57 UTC
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