Indiana
Professional Licensing Agency
Marco M De Santis
Controlled Substance Registration-Osteopathic Physician
License number
02004319B
Date granted
09/30/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Lutheran Hospital, 7900 W Jefferson Blvd. Ste 201, Fort Wayne IN 46804
indianalicensing.org
ID 5800613
LAST UPDATED 2024-03-03 23:48:54 UTC
LAST UPDATED 2024-03-03 23:48:54 UTC
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