Indiana
Professional Licensing Agency
Markus Niederwanger
Controlled Substance Registration - Physician
License number
01060729B
Date granted
05/17/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1115 North Ronald Reagan Pkwy, Ste 235, Avon IN 46123
indianalicensing.org
ID 5820340
LAST UPDATED 2024-01-19 02:25:24 UTC
LAST UPDATED 2024-01-19 02:25:24 UTC
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