Indiana
Professional Licensing Agency
Mark Sandifer Munroe
Controlled Substance Registration - Physician
License number
01036737B
Date granted
06/13/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PROMPTCARE WEST, 3443 WEST 3RD STREET, Bloomington IN 47404
indianalicensing.org
ID 5825274
LAST UPDATED 2024-05-04 02:41:54 UTC
LAST UPDATED 2024-05-04 02:41:54 UTC
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