Indiana
Professional Licensing Agency
Mary Burden
Controlled Substance Registration-Osteopathic Physician
License number
02002905B
Date granted
07/05/2005
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
3520 Guion Road, Suite 204, Indianapolis IN 46222
indianalicensing.org
ID 5805105
LAST UPDATED 2024-03-13 08:59:34 UTC
LAST UPDATED 2024-03-13 08:59:34 UTC
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