Indiana
Professional Licensing Agency
Marnie Jean Widdifield
Controlled Substance Registration - Physician
License number
01051575B
Date granted
10/15/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Rush Memorial Hospital - ER Dept., 1300 North Main Street, Rushville IN 46173
indianalicensing.org
ID 5915912
LAST UPDATED 2024-04-04 14:46:10 UTC
LAST UPDATED 2024-04-04 14:46:10 UTC
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