License holder summary

Marylin Ann Datzman is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Marylin Ann Datzman is DUNN MEMORIAL HOSPITAL, 1600 23RD STREET, BEDFORD IN 47421. This licensed professional license is not current. The license was granted 04/30/1981 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Marylin Ann Datzman
Controlled Substance Registration - Physician
License number
01028568B
Date granted
04/30/1981
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
DUNN MEMORIAL HOSPITAL, 1600 23RD STREET, BEDFORD IN 47421
indianalicensing.org
ID 5822383
LAST UPDATED 2024-04-05 01:04:42 UTC

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