MARK DOUGLAS KRAUSE

Controlled Substance Registration - Physician

Indiana  01040838B   Expired

This Indiana license was held by MARK DOUGLAS KRAUSE. The license is no longer active. It was granted on 09/18/1995 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: 01040838B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 09/18/1995 (over 30 years ago)
  • Expiry Date: 06/30/2001 (almost 25 years ago)

LOCATIONS

A Address

GRAND PARK SURGICENTER, 1479 EAST 84TH PLACE, MERRILLVILLE IN 46410