License holder summary

Mary Ann Chavez is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Mary Ann Chavez is 222 W. Beech Street, Sullivan IN 47882. This licensed professional license is current. The license was granted 05/10/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mary Ann Chavez
Controlled Substance Registration-Osteopathic Physician
License number
02002313B
Date granted
05/10/2001
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
222 W. Beech Street, Sullivan IN 47882
indianalicensing.org
ID 5813968
LAST UPDATED 2024-03-25 03:00:17 UTC

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