Indiana
Professional Licensing Agency
Mecca T. McDonald
Controlled Substance Registration - Physician
License number
01039722B
Date granted
10/15/1991
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
645 NORTH MIAMI, GARY IN 46403
indianalicensing.org
ID 5857005
LAST UPDATED 2024-03-03 07:49:28 UTC
LAST UPDATED 2024-03-03 07:49:28 UTC
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