License holder summary

Mark Walter Deroo is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Walter Deroo is 2995 N SALISBURY STREET, WEST LAFAYETTE IN 47906. This licensed professional license is not current. The license was granted 07/31/1985 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

Mark Walter Deroo
Controlled Substance Registration - Physician
License number
01031219B
Date granted
07/31/1985
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2995 N SALISBURY STREET, WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5934261
LAST UPDATED 2024-03-07 12:19:02 UTC

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