Indiana
Professional Licensing Agency
Marvin Clark Vice
Controlled Substance Registration-Osteopathic Physician
License number
02003539B
Date granted
07/01/2009
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Reid Hospital, 1401 Chester Blvd., Richmond IN 47374
indianalicensing.org
ID 5812230
LAST UPDATED 2024-05-15 06:48:22 UTC
LAST UPDATED 2024-05-15 06:48:22 UTC
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