Indiana
Professional Licensing Agency
William E. Martinov
Controlled Substance Registration - Physician
License number
01015497B
Date granted
02/28/1985
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1421 WALL STREET, SOUTH BEND IN 46615
indianalicensing.org
ID 5922653
LAST UPDATED 2024-03-13 13:12:55 UTC
LAST UPDATED 2024-03-13 13:12:55 UTC
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