Indiana
Professional Licensing Agency
Mark Edmund Belisle
Controlled Substance Registration - Physician
License number
01027503B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Deaconess Womens Hospital, 4199 Gateway Blvd., Newburgh IN 47630
indianalicensing.org
ID 5905966
LAST UPDATED 2024-04-13 10:43:33 UTC
LAST UPDATED 2024-04-13 10:43:33 UTC
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