MARK EDWARD MINER
Controlled Substance Registration-Osteopathic Physician
Indiana 02001733B Expired
This Indiana license was held by MARK EDWARD MINER. The license is no longer active. It was granted on 05/23/1996 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 02001733B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 05/23/1996 (about 29 years ago)
- Expiry Date: 06/30/2001 (about 24 years ago)
LOCATIONS
A Address
5454 HOHMAN AVENUE, HAMMOND IN 46320