License holder summary

MARILYN MITTENTHAL is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for MARILYN MITTENTHAL is SOUTHLAKE CTR FOR MENTAL HEALTH, 8555 TAFT STREET, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 06/02/1986 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

MARILYN MITTENTHAL
Controlled Substance Registration-Osteopathic Physician
License number
02000914B
Date granted
06/02/1986
Date expires
06/30/1995
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
SOUTHLAKE CTR FOR MENTAL HEALTH, 8555 TAFT STREET, MERRILLVILLE IN 46410
indianalicensing.org
ID 5808733
LAST UPDATED 2024-04-03 02:27:38 UTC

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