Indiana
Professional Licensing Agency
Maryann Therese Fumo
Controlled Substance Registration - Physician
License number
01036532B
Date granted
07/09/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1225 E. Coolspring Ave., Michigan City IN 46360
indianalicensing.org
ID 5893113
LAST UPDATED 2024-04-18 09:25:52 UTC
LAST UPDATED 2024-04-18 09:25:52 UTC
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