License holder summary

Mary Alice Reid is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mary Alice Reid is Bristol Street Pediatric Associates, 1627 East Bristol St., Elkhart IN 46514. This licensed professional license is current. The license was granted 01/25/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mary Alice Reid
Controlled Substance Registration - Physician
License number
01044674B
Date granted
01/25/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Bristol Street Pediatric Associates, 1627 East Bristol St., Elkhart IN 46514
indianalicensing.org
ID 5847897
LAST UPDATED 2024-04-22 17:41:02 UTC

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