Indiana
Professional Licensing Agency
Marcus Antonio Jimenez
Controlled Substance Registration - Physician
License number
01043881B
Date granted
07/21/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana Vein and Laser Center, 2410 North Glendale Drive, Suite C, Fort Wayne IN 46804
indianalicensing.org
ID 5853941
LAST UPDATED 2024-02-11 15:32:19 UTC
LAST UPDATED 2024-02-11 15:32:19 UTC
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