Mara Divis
Controlled Substance Registration-Osteopathic Physician
Indiana 02003631B Active
This Indiana license is held by Mara Divis. The license is currently active. It was granted on 08/23/2010 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 02003631B
- Category: CSR-Osteopathic Physician
- Status: Active
- Date Granted: 08/23/2010 (almost 14 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
Memorial Family Medicine, 714 N Michigan Street, South Bend IN 46601
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