Indiana
Professional Licensing Agency
Mark Edward Bangs
Controlled Substance Registration - Physician
License number
01039229B
Date granted
07/26/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
14010 Brookstone Drive, Carmel IN 46032
indianalicensing.org
ID 11949456
LAST UPDATED 2024-02-08 09:10:39 UTC
LAST UPDATED 2024-02-08 09:10:39 UTC
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