Mark Edward Bauman
Controlled Substance Registration - Physician
Indiana 01041172B Expired
This Indiana license was held by Mark Edward Bauman. The license is no longer active. It was granted on 07/01/1997 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01041172B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/01/1997 (about 29 years ago)
- Expiry Date: 10/31/2013 (almost 13 years ago)
LOCATIONS
A Address
Bloomington Hospital, 601 West Second Street, Bloomington IN 47403