Indiana
Professional Licensing Agency
Mark Alan Siemer
Controlled Substance Registration-Osteopathic Physician
License number
02002330B
Date granted
08/02/2001
Date expires
06/30/2003
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
2516 EAST DUPONT ROAD, Fort Wayne IN 46825
indianalicensing.org
ID 5800648
LAST UPDATED 2024-04-15 16:25:48 UTC
LAST UPDATED 2024-04-15 16:25:48 UTC
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