License holder summary

Marie Marilyn Packer is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Marie Marilyn Packer is St Catherine Hospital, 4321 Fir Street, East Chicago IN 46312. This licensed professional license is current. The license was granted 06/24/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Marie Marilyn Packer
Controlled Substance Registration - Physician
License number
01069833B
Date granted
06/24/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Catherine Hospital, 4321 Fir Street, East Chicago IN 46312
indianalicensing.org
ID 5845647
LAST UPDATED 2024-04-23 18:52:23 UTC

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