Indiana
Professional Licensing Agency
Mary Christine Dynes
Controlled Substance Registration - Physician
License number
01055405B
Date granted
01/07/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895530
LAST UPDATED 2024-02-16 01:26:11 UTC
LAST UPDATED 2024-02-16 01:26:11 UTC
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