Indiana
Professional Licensing Agency
Mary Kathleen Martinie
Controlled Substance Registration - Physician
License number
01056942B
Date granted
06/22/2005
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
IU Women's Healthcare, Dept. of OB/GYN, 1111 N. Ronald Reagan Pkwy., Avon IN 46123
indianalicensing.org
ID 5820334
LAST UPDATED 2024-03-02 14:55:57 UTC
LAST UPDATED 2024-03-02 14:55:57 UTC
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