License holder summary

Mariano Ariel Polidori is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mariano Ariel Polidori is Fayette Regional Health System, 1941 Virginia Ave, Connersville IN 47331. This licensed professional license is current. The license was granted 06/05/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mariano Ariel Polidori
Controlled Substance Registration - Physician
License number
01064068B
Date granted
06/05/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Fayette Regional Health System, 1941 Virginia Ave, Connersville IN 47331
indianalicensing.org
ID 5838052
LAST UPDATED 2024-04-24 10:00:19 UTC

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