Indiana
Professional Licensing Agency
Mary Margaret Maloney
Controlled Substance Registration - Physician
License number
01032404B
Date granted
06/30/1984
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Associated Psychiatric Services, 310 East Dupont Rd., Suite 2, Fort Wayne IN 46825
indianalicensing.org
ID 5853982
LAST UPDATED 2024-04-28 11:01:22 UTC
LAST UPDATED 2024-04-28 11:01:22 UTC
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