Indiana
Professional Licensing Agency
SCARLINE MARIE JEROME KON
Controlled Substance Registration - Physician
License number
01050066B
Date granted
04/12/1999
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Center for Behavioral Medicine, 307 South Main St., Suite 305, Elkhart IN 46516
indianalicensing.org
ID 5848393
LAST UPDATED 2024-03-28 01:58:38 UTC
LAST UPDATED 2024-03-28 01:58:38 UTC
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