License holder summary

Mary Ellen Walton Conti is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mary Ellen Walton Conti is Goshen Cancer Center, 200 High Park Avenue, Goshen IN 46526. This licensed professional license is not current. The license was granted 03/04/2010 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Mary Ellen Walton Conti
Controlled Substance Registration - Physician
License number
01067882B
Date granted
03/04/2010
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Goshen Cancer Center, 200 High Park Avenue, Goshen IN 46526
indianalicensing.org
ID 5858877
LAST UPDATED 2024-04-21 04:58:12 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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