License holder summary

Marvin Antonio Duque is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Marvin Antonio Duque is Saint Joseph Regional Medical Center/Hospitalist Program, 5215 Holy Cross Parkway, Mishawaka IN 46545. This licensed professional license is current. The license was granted 10/30/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Marvin Antonio Duque
Controlled Substance Registration - Physician
License number
01066216C
Date granted
10/30/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Joseph Regional Medical Center/Hospitalist Program, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 11957030
LAST UPDATED 2024-03-02 01:04:47 UTC

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