Indiana
Professional Licensing Agency
Marion C Drake
Controlled Substance Registration - Physician
License number
01014940B
Date granted
10/31/1984
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 387, 1520 SOUTH R STREET, ELWOOD IN 46036
indianalicensing.org
ID 5849105
LAST UPDATED 2024-03-17 17:15:59 UTC
LAST UPDATED 2024-03-17 17:15:59 UTC
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