Indiana
Professional Licensing Agency
Mary Ann Mentendiek
Controlled Substance Registration - Physician
License number
01021540B
Date granted
02/28/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8902 NORTH MERIDIAN ST #240, INDIANAPOLIS IN 46260
indianalicensing.org
ID 5870210
LAST UPDATED 2026-04-07 16:26:21 UTC
LAST UPDATED 2026-04-07 16:26:21 UTC
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