Indiana
Professional Licensing Agency
Mark Gregory Lewis
Controlled Substance Registration-Osteopathic Physician
License number
02000903B
Date granted
05/23/1989
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
610 North Michigan Street, Suite 200, South Bend IN 46601
indianalicensing.org
ID 5813520
LAST UPDATED 2024-04-22 13:20:40 UTC
LAST UPDATED 2024-04-22 13:20:40 UTC
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