Indiana
Professional Licensing Agency
Mary Beth Madonna
Controlled Substance Registration - Physician
License number
01056133B
Date granted
05/10/2002
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Margaret Mercy Hospital, 5454 Hohman Ave., Hammond IN 46320
indianalicensing.org
ID 5864624
LAST UPDATED 2024-03-23 12:27:08 UTC
LAST UPDATED 2024-03-23 12:27:08 UTC
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