Indiana
Professional Licensing Agency
MARIETTA GARCIA GARDOSE
Controlled Substance Registration - Physician
License number
01037513B
Date granted
08/03/1989
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LOGANSPORT STATE HOSPITAL, R R # 2 U S HIGHWAY #25 SOUTH, LOGANSPORT IN 46947
indianalicensing.org
ID 5885362
LAST UPDATED 2024-01-29 15:14:39 UTC
LAST UPDATED 2024-01-29 15:14:39 UTC
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