Indiana
Professional Licensing Agency
Mary Judith Allen
Controlled Substance Registration-Osteopathic Physician
License number
02002896C
Date granted
09/03/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Parkview Medical Center, 2200 Randalia Drive, Fort Wayne IN 46805
indianalicensing.org
ID 5800672
LAST UPDATED 2024-03-16 10:05:48 UTC
LAST UPDATED 2024-03-16 10:05:48 UTC
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