Indiana
Professional Licensing Agency
Mark Alexander Dayton
Controlled Substance Registration - Physician
License number
01033747B
Date granted
07/25/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
550 Landmark Ave., PO Box 550, Bloomington IN 47402-0550
indianalicensing.org
ID 5825176
LAST UPDATED 2024-03-24 10:20:59 UTC
LAST UPDATED 2024-03-24 10:20:59 UTC
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