Indiana
Professional Licensing Agency
Mary Ann C. Henry
Controlled Substance Registration - Physician
License number
01034115B
Date granted
03/27/1985
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
630 HIGHWAY 131 EAST, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873645
LAST UPDATED 2024-04-09 21:59:55 UTC
LAST UPDATED 2024-04-09 21:59:55 UTC
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