Indiana
Professional Licensing Agency
MARY LOU HIRE
Controlled Substance Registration - Physician
License number
01033776B
Date granted
08/16/1984
Date expires
12/31/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1515 SHOREVIEW, FORT WAYNE IN 46819
indianalicensing.org
ID 5853980
LAST UPDATED 2024-05-02 10:30:36 UTC
LAST UPDATED 2024-05-02 10:30:36 UTC
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