License holder summary

Mark Allen Grevious is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Allen Grevious is Saint Margaret Mercy, 5454 Hohman Ave, Hammond IN 46320. This licensed professional license is current. The license was granted 04/04/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mark Allen Grevious
Controlled Substance Registration - Physician
License number
01060561B
Date granted
04/04/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Margaret Mercy, 5454 Hohman Ave, Hammond IN 46320
indianalicensing.org
ID 5864602
LAST UPDATED 2024-03-08 10:34:56 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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