Indiana
Professional Licensing Agency
Marie Wilson-Marshall
Controlled Substance Registration - Physician
License number
01041505B
Date granted
06/24/1993
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired Non-Renewable
Address
2050 NORTH MAIN STREET, CROWN POINT IN 46307
indianalicensing.org
ID 5841525
LAST UPDATED 2024-02-06 11:02:56 UTC
LAST UPDATED 2024-02-06 11:02:56 UTC
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