License holder summary

Mark Richard Gardner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Richard Gardner is US Steel Gary Works, 215 North Broadway, Gary IN 46402. This licensed professional license is current. The license was granted 07/08/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mark Richard Gardner
Controlled Substance Registration - Physician
License number
01059461B
Date granted
07/08/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
US Steel Gary Works, 215 North Broadway, Gary IN 46402
indianalicensing.org
ID 5856952
LAST UPDATED 2024-03-29 15:05:11 UTC

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