License holder summary

MARK MICHAEL WALSH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARK MICHAEL WALSH is Mark Walsh, 54479 WHISPERING OAK DRIVE, MISHAWAKA IN 46545. This licensed professional license is current. The license was granted 12/02/1987 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

MARK MICHAEL WALSH
Controlled Substance Registration - Physician
License number
01035916B
Date granted
12/02/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Mark Walsh, 54479 WHISPERING OAK DRIVE, MISHAWAKA IN 46545
indianalicensing.org
ID 5895505
LAST UPDATED 2024-02-17 08:27:46 UTC

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