License holder summary

MARTIEN ADRIAAN MULDER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARTIEN ADRIAAN MULDER is MADISON CLINIC, 722 W MAIN, MADISON IN 47250. This licensed professional license is not current. The license was granted 05/22/1997 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

MARTIEN ADRIAAN MULDER
Controlled Substance Registration - Physician
License number
01046816B
Date granted
05/22/1997
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MADISON CLINIC, 722 W MAIN, MADISON IN 47250
indianalicensing.org
ID 5887014
LAST UPDATED 2024-03-19 05:07:31 UTC

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