License holder summary

Mark A. King is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Mark A. King is Lutheran Medical Group, 7980 W. Jefferson Blvd, Fort Wayne IN 46804. This licensed professional license is current. The license was granted 07/08/1988 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mark A. King
Controlled Substance Registration-Osteopathic Physician
License number
02001031B
Date granted
07/08/1988
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Lutheran Medical Group, 7980 W. Jefferson Blvd, Fort Wayne IN 46804
indianalicensing.org
ID 5800617
LAST UPDATED 2024-03-13 10:10:56 UTC

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