License holder summary

MARK GREGORY EVENSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARK GREGORY EVENSON is TIPTON COUNTY MEMORIAL HOSPITAL, 1000 SOUTH MAIN STREET, TIPTON IN 46072. This licensed professional license is current. The license was granted 07/08/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

MARK GREGORY EVENSON
Controlled Substance Registration - Physician
License number
01032779B
Date granted
07/08/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
TIPTON COUNTY MEMORIAL HOSPITAL, 1000 SOUTH MAIN STREET, TIPTON IN 46072
indianalicensing.org
ID 5927248
LAST UPDATED 2024-03-02 18:32:49 UTC

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