Indiana
Professional Licensing Agency
W. Mark Gutowski
Controlled Substance Registration - Physician
License number
01046505B
Date granted
04/24/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
HEAD AND NECK SURGERY, 368 BIELBY ROAD Suite 140 Ludlow Hill Prof. Bldg., LAWRENCEBURG IN 47025
indianalicensing.org
ID 5883577
LAST UPDATED 2024-02-17 19:16:59 UTC
LAST UPDATED 2024-02-17 19:16:59 UTC
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