License holder summary

Mark Douglas Totten is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Douglas Totten is KDH Downtown Medical Building, 630 N. Broadway Street, Madison IN 47250. This licensed professional license is current. The license was granted 08/04/1995 and expired on 10/31/2015.

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

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