Anthony Lewis Martin

Controlled Substance Registration-Osteopathic Physician

Indiana  02004075B   Active

This Indiana license is held by Anthony Lewis Martin. The license is currently active. It was granted on 10/16/2012 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 02004075B
  • Category: CSR-Osteopathic Physician
  • Status: Active
  • Date Granted: 10/16/2012 (over 13 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

St. Vincent Hospital, 2001 West 86th Street, Indianapolis IN 46240