Indiana
Professional Licensing Agency
Mark Wade Lutz
Controlled Substance Registration-Physician Assistant
License number
10000862B
Date granted
02/29/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Indiana Heart Physicians, 5330 E Stop 11 Road, Indianapolis IN 46237
indianalicensing.org
ID 8387366
LAST UPDATED 2024-05-11 13:24:24 UTC
LAST UPDATED 2024-05-11 13:24:24 UTC
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