JOHNATHAN MARK MARTIN
Controlled Substance Registration - Physician
Indiana 01043987B Active
This Indiana license is held by JOHNATHAN MARK MARTIN. The license is currently active. It was granted on 03/09/1998 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01043987B
- Category: CSR-Physician
- Status: Active
- Date Granted: 03/09/1998 (over 28 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
Home Hospital Medical Staff Office, 2400 South Street, Lafayette IN 47904
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