Edward Mark Lichten

Controlled Substance Registration - Physician

Indiana  01070877B   Active

This Indiana license is held by Edward Mark Lichten. The license is currently active. It was granted on 04/27/2012 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01070877B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 04/27/2012 (about 14 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

EM Lichten MD, P.C., 1729 East Main Street, Plainfield IN 46168