License holder summary

MARY JO CLARKE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARY JO CLARKE is 6910 N GUMWOOD BLDG #2, GRANGER IN 46530. This licensed professional license is not current. The license was granted 06/05/1986 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

MARY JO CLARKE
Controlled Substance Registration - Physician
License number
01034977B
Date granted
06/05/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6910 N GUMWOOD BLDG #2, GRANGER IN 46530
indianalicensing.org
ID 5859563
LAST UPDATED 2024-04-27 10:16:59 UTC

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