Indiana
Professional Licensing Agency
Mark Douglas Totten
Controlled Substance Registration - Physician
License number
01043806B
Date granted
08/04/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
KDH Downtown Medical Building, 630 N. Broadway Street, Madison IN 47250
indianalicensing.org
ID 5887003
LAST UPDATED 2024-04-17 07:34:24 UTC
LAST UPDATED 2024-04-17 07:34:24 UTC
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