License holder summary

MARY S LEWIS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARY S LEWIS is PULMONARY & INTERNAL MEDICINE ASSOC PSC, 207 SPARKS AVENUE SUITE #406, JEFFERSONVILLE IN 47130. This licensed professional license is not current. The license was granted 06/29/1995 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

MARY S LEWIS
Controlled Substance Registration - Physician
License number
01043898B
Date granted
06/29/1995
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PULMONARY & INTERNAL MEDICINE ASSOC PSC, 207 SPARKS AVENUE SUITE #406, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873665
LAST UPDATED 2024-01-05 22:07:06 UTC

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