MARILYN MITTENTHAL
Controlled Substance Registration-Osteopathic Physician
Indiana 02000914B Expired
This Indiana license was held by MARILYN MITTENTHAL. The license is no longer active. It was granted on 06/02/1986 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 02000914B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 06/02/1986 (about 40 years ago)
- Expiry Date: 06/30/1995 (almost 31 years ago)
LOCATIONS
A Address
SOUTHLAKE CTR FOR MENTAL HEALTH, 8555 TAFT STREET, MERRILLVILLE IN 46410