Indiana
Professional Licensing Agency
Mark Atkinson vanGorder
Controlled Substance Registration - Physician
License number
01053877B
Date granted
04/05/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PATHOLOGY CONSULTANTS INC, 113 EAST FOURTH STREET, Michigan City IN 46360-0583
indianalicensing.org
ID 5893107
LAST UPDATED 2024-05-14 23:16:41 UTC
LAST UPDATED 2024-05-14 23:16:41 UTC
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