Indiana
Professional Licensing Agency
Mark Joseph Holterman
Controlled Substance Registration - Physician
License number
01057257B
Date granted
02/20/2003
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Margaret Healthcare Center, 5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5864617
LAST UPDATED 2024-02-23 09:36:48 UTC
LAST UPDATED 2024-02-23 09:36:48 UTC
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