MARION ANTHONY TRYBULA

Controlled Substance Registration - Physician

Indiana  01045710B   Active

This Indiana license is held by MARION ANTHONY TRYBULA. The license is currently active. It was granted on 08/29/1996 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01045710B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 08/29/1996 (over 28 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

SUNITI MEDICAL CORP, 200 EAST 89TH AVENUE, SUITE 2A, Merrillville IN 46410