Indiana
Professional Licensing Agency
Martha Kachmaryk
Controlled Substance Registration - Physician
License number
01048801C
Date granted
06/29/1998
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
RETINA VITREOUS ASSOC OF IND INC, 270E DAY RD, MISHAWAKA IN 46545
indianalicensing.org
ID 5895515
LAST UPDATED 2024-03-20 18:47:41 UTC
LAST UPDATED 2024-03-20 18:47:41 UTC
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