License holder summary

MARK WAYNE DISTLER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARK WAYNE DISTLER is SOUTHERN INDIANA PEDIATRICS, 1701 SPRING ST STE A, JEFFERSONVILLE IN 47130. This licensed professional license is not current. The license was granted 06/30/1994 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

MARK WAYNE DISTLER
Controlled Substance Registration - Physician
License number
01042652B
Date granted
06/30/1994
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SOUTHERN INDIANA PEDIATRICS, 1701 SPRING ST STE A, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873649
LAST UPDATED 2024-04-13 03:44:23 UTC

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