License holder summary

Martina Anntionette McGowan is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Martina Anntionette McGowan is PrimeCare Physician Network, 1122 Professional Drive, Goshen IN 46526. This licensed professional license is current. The license was granted 08/12/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Martina Anntionette McGowan
Controlled Substance Registration - Physician
License number
01041734B
Date granted
08/12/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PrimeCare Physician Network, 1122 Professional Drive, Goshen IN 46526
indianalicensing.org
ID 5858875
LAST UPDATED 2024-02-21 03:44:07 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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