Indiana
Professional Licensing Agency
Noel J Martin
Controlled Substance Registration - Physician
License number
01020142B
Date granted
02/28/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
166 North Yankeetown Road, P.O. Box 450, Boonville IN 47601
indianalicensing.org
ID 5827372
LAST UPDATED 2024-03-08 17:59:50 UTC
LAST UPDATED 2024-03-08 17:59:50 UTC
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