Indiana
Professional Licensing Agency
Pete Mayfield, IV
Controlled Substance Registration - Physician
License number
01034928B
Date granted
05/22/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Medical Associates, 2051 Clevidence Boulevard, Clarksville IN 47129
indianalicensing.org
ID 5834533
LAST UPDATED 2024-03-05 07:48:26 UTC
LAST UPDATED 2024-03-05 07:48:26 UTC
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