Indiana
Professional Licensing Agency
Mark T. Ciancone
Controlled Substance Registration - Physician
License number
01031492B
Date granted
08/29/1988
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
IU Health Center, 600 North Jordan Avenue, Bloomington IN 47405
indianalicensing.org
ID 5825224
LAST UPDATED 2024-03-05 04:14:45 UTC
LAST UPDATED 2024-03-05 04:14:45 UTC
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