Indiana
Professional Licensing Agency
Mark Louis Greenberg
Controlled Substance Registration - Physician
License number
01051455B
Date granted
09/30/1999
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
10200 Wicker Ave, Saint John IN 46373
indianalicensing.org
ID 5916282
LAST UPDATED 2024-05-10 19:07:24 UTC
LAST UPDATED 2024-05-10 19:07:24 UTC
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