License holder summary

Mary Jane Mungovan is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mary Jane Mungovan is Wabash Valley Hospital Inc, 2900 North River Road, West Lafayette IN 47906. This licensed professional license is not current. The license was granted 06/20/2000 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Mary Jane Mungovan
Controlled Substance Registration - Physician
License number
01049745B
Date granted
06/20/2000
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Wabash Valley Hospital Inc, 2900 North River Road, West Lafayette IN 47906
indianalicensing.org
ID 5934291
LAST UPDATED 2024-04-16 19:59:23 UTC

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