License holder summary

MARILYN D EZRI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARILYN D EZRI is ST ANTHONY MEDICAL CENTER, MAIN AT FRANCISCAN ROAD, CROWN POINT IN 46307. This licensed professional license is not current. The license was granted 10/26/1992 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

MARILYN D EZRI
Controlled Substance Registration - Physician
License number
01025666B
Date granted
10/26/1992
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY MEDICAL CENTER, MAIN AT FRANCISCAN ROAD, CROWN POINT IN 46307
indianalicensing.org
ID 5841555
LAST UPDATED 2024-03-28 06:19:41 UTC

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