Indiana
Professional Licensing Agency
Mark Allen Haggenjos
Controlled Substance Registration-Osteopathic Physician
License number
02001027B
Date granted
07/19/1988
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Family Practice of Jay County, 428 A West Votaw Street, Suite A - P O Box 710, Portland IN 47371-0710
indianalicensing.org
ID 5811885
LAST UPDATED 2024-05-17 06:16:59 UTC
LAST UPDATED 2024-05-17 06:16:59 UTC
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