ANTWAN MARDINI
Controlled Substance Registration - Physician
Indiana 01048595B Active
This Indiana license is held by ANTWAN MARDINI. The license is currently active. It was granted on 04/30/1998 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01048595B
- Category: CSR-Physician
- Status: Active
- Date Granted: 04/30/1998 (over 28 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
1530 North 7th Street Suite 111, Terre Haute IN 47807
Are you ANTWAN MARDINI? Show the world that you're licensed by displaying your personal badge.
Get Badge