License holder summary

ROBERT GEORGE MORTOLA is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for ROBERT GEORGE MORTOLA is 17970 AMBERWOOD LANE, SOUTH BEND IN 46635. This licensed professional license is not current. The license was granted 02/28/1984 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

ROBERT GEORGE MORTOLA
Controlled Substance Registration-Osteopathic Physician
License number
02000257B
Date granted
02/28/1984
Date expires
06/30/1993
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
17970 AMBERWOOD LANE, SOUTH BEND IN 46635
indianalicensing.org
ID 5813650
LAST UPDATED 2024-02-08 00:59:55 UTC

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