License holder summary

SUSAN MARTHA MALINOWSKI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SUSAN MARTHA MALINOWSKI is RETINA VITREOUS ASSOCIATES OF INDIANA, 7305 W JEFFERSON BOULEVARD, FORT WAYNE IN 46804. This licensed professional license is not current. The license was granted 10/27/1994 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

SUSAN MARTHA MALINOWSKI
Controlled Substance Registration - Physician
License number
01043201B
Date granted
10/27/1994
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
RETINA VITREOUS ASSOCIATES OF INDIANA, 7305 W JEFFERSON BOULEVARD, FORT WAYNE IN 46804
indianalicensing.org
ID 5854577
LAST UPDATED 2024-02-28 09:33:22 UTC

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