Indiana
Professional Licensing Agency
Maris F. McIntyre
Controlled Substance Registration-Osteopathic Physician
License number
02003381B
Date granted
09/02/2008
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Marcotte Medical Group, 15900 W 101st Avenue, Dyer IN 46311
indianalicensing.org
ID 5798642
LAST UPDATED 2024-05-14 18:12:56 UTC
LAST UPDATED 2024-05-14 18:12:56 UTC
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