Indiana
Professional Licensing Agency
Marianne Parks
Physician
License number
01051513A
Date granted
10/04/1999
Date expires
06/30/2011
Class
Physician
Status
Expired Non-Renewable
Address
Fort Wayne IN 46825
indianalicensing.org
ID 6053537
LAST UPDATED 2026-05-17 23:19:46 UTC
LAST UPDATED 2026-05-17 23:19:46 UTC
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