License holder summary

Mark Alan Washington is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Alan Washington is 4488 Broadway, Gary IN 46408. This licensed professional license is current. The license was granted 10/15/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mark Alan Washington
Controlled Substance Registration - Physician
License number
01071818B
Date granted
10/15/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4488 Broadway, Gary IN 46408
indianalicensing.org
ID 5856954
LAST UPDATED 2026-06-10 21:02:11 UTC

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