Indiana
Professional Licensing Agency
Nancy Bernadette Marthakis
Controlled Substance Registration-Osteopathic Physician
License number
02004027B
Date granted
06/01/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Northshore Health Centers, 3564 Scottsdale Street, Portage IN 46368
indianalicensing.org
ID 5811853
LAST UPDATED 2024-04-19 05:55:39 UTC
LAST UPDATED 2024-04-19 05:55:39 UTC
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