License holder summary

Mark Randolph Freije is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Randolph Freije is St. Vincent Physicians Network, 5691 Pebble village Lane, Noblesville IN 46062. This licensed professional license is current. The license was granted 07/06/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mark Randolph Freije
Controlled Substance Registration - Physician
License number
01037804C
Date granted
07/06/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Vincent Physicians Network, 5691 Pebble village Lane, Noblesville IN 46062
indianalicensing.org
ID 5907135
LAST UPDATED 2024-04-12 04:07:45 UTC

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