Indiana
Professional Licensing Agency
Mary E D Carroll
Controlled Substance Registration - Physician
License number
01016029B
Date granted
11/30/1985
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BIRDZELL & CARROLL INC, 124 MAIN STREET, CROWN POINT IN 46307
indianalicensing.org
ID 5841580
LAST UPDATED 2024-04-04 17:00:38 UTC
LAST UPDATED 2024-04-04 17:00:38 UTC
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