Indiana
Professional Licensing Agency
Mary E. Mason
Controlled Substance Registration-Osteopathic Physician
License number
02002806B
Date granted
07/01/2004
Date expires
06/30/2007
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Fort Wayne Medical Education Program, 2448 Lake Avenue, Fort Wayne IN 46804
indianalicensing.org
ID 5800669
LAST UPDATED 2024-04-01 15:30:08 UTC
LAST UPDATED 2024-04-01 15:30:08 UTC
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