License holder summary

Marlis Lange is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Marlis Lange is Bedford Regional Medical Center, 2900 W 16th Street, Bedford IN 47421. This licensed professional license is current. The license was granted 03/28/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Marlis Lange
Controlled Substance Registration - Physician
License number
01070880B
Date granted
03/28/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Bedford Regional Medical Center, 2900 W 16th Street, Bedford IN 47421
indianalicensing.org
ID 5822431
LAST UPDATED 2024-03-17 08:14:59 UTC

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