Indiana
Professional Licensing Agency
MARLA SUE COUTZ
Controlled Substance Registration - Physician
License number
01029811B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1580 Bayswater Lane, Cicero IN 46034
indianalicensing.org
ID 5834061
LAST UPDATED 2024-03-15 06:29:47 UTC
LAST UPDATED 2024-03-15 06:29:47 UTC
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