Indiana
Professional Licensing Agency
Mariano L. Orca
Controlled Substance Registration - Physician
License number
01028016B
Date granted
05/24/1999
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Lake Country Urology Clinic, Medical Staff Department, 207 North Townline Road, Lagrange IN 46761
indianalicensing.org
ID 5881038
LAST UPDATED 2024-04-18 18:03:08 UTC
LAST UPDATED 2024-04-18 18:03:08 UTC
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