Indiana
Professional Licensing Agency
MARK GOREN
Controlled Substance Registration - Physician
License number
01028276B
Date granted
05/31/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
822 W FIRST STREET, BLOOMINGTON IN 47403
indianalicensing.org
ID 5825215
LAST UPDATED 2026-03-24 12:27:35 UTC
LAST UPDATED 2026-03-24 12:27:35 UTC
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