Indiana
Professional Licensing Agency
Melissa S. Mahoney
Controlled Substance Registration-Osteopathic Physician
License number
02003429B
Date granted
10/22/2008
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
2269 west 25th ave, Gary IN 46404
indianalicensing.org
ID 5801312
LAST UPDATED 2024-02-22 08:29:54 UTC
LAST UPDATED 2024-02-22 08:29:54 UTC
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