Indiana
Professional Licensing Agency
Marian Therese Bayne-Poorman
Controlled Substance Registration-Osteopathic Physician
License number
02003388B
Date granted
10/10/2008
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Dermatology Physicians, Inc., 360 Plaza Drive, Suite C, Columbus IN 47201
indianalicensing.org
ID 5796957
LAST UPDATED 2024-01-31 22:13:19 UTC
LAST UPDATED 2024-01-31 22:13:19 UTC
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