Indiana
Professional Licensing Agency
Marvin Eugene Eastlund
Controlled Substance Registration - Physician
License number
01022999B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5204 Tatum Court, FORT WAYNE IN 46835-4633
indianalicensing.org
ID 5853968
LAST UPDATED 2026-04-16 13:25:29 UTC
LAST UPDATED 2026-04-16 13:25:29 UTC
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