License holder summary

Mark Jacob Perlow is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Jacob Perlow is C/O NINI, 521 EAST 86TH AVENUE #Z, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 05/24/1985 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

Mark Jacob Perlow
Controlled Substance Registration - Physician
License number
01031432B
Date granted
05/24/1985
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
C/O NINI, 521 EAST 86TH AVENUE #Z, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890998
LAST UPDATED 2024-04-17 01:27:35 UTC

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