MARK EDWARD DOUGLAS

Nursing Board - Csr Prescriptive Authority

Indiana  71000911B   Expired

This Indiana license was held by MARK EDWARD DOUGLAS. The license is no longer active. It was granted on 08/14/2000 and expired on 10/31/2007

LICENSE DETAILS

  • License Number: 71000911B
  • Category: CSR-Prescriptive Authority
  • Status: Expired
  • Date Granted: 08/14/2000 (almost 24 years ago)
  • Expiry Date: 10/31/2007 (over 16 years ago)

LOCATIONS

A Address

GENNESARET FREE CLINIC, 631 EAST NEW YORK STREET, Indianapolis IN 46202