License holder summary

Mary Lou Pine is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Mary Lou Pine is Health 1st, 1515 North State Street, Greenfield IN 46140. This licensed professional license is current. The license was granted 03/31/2008 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Mary Lou Pine
Controlled Substance Registration-Physician Assistant
License number
10000729B
Date granted
03/31/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Health 1st, 1515 North State Street, Greenfield IN 46140
indianalicensing.org
ID 8386814
LAST UPDATED 2026-04-22 18:04:08 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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