Mark Jacob Perlow
Controlled Substance Registration - Physician
Indiana 01031432B Expired
This Indiana license was held by Mark Jacob Perlow. The license is no longer active. It was granted on 05/24/1985 and expired on 06/30/1989
LICENSE DETAILS
- License Number: 01031432B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/24/1985 (about 40 years ago)
- Expiry Date: 06/30/1989 (almost 36 years ago)
LOCATIONS
A Address
C/O NINI, 521 EAST 86TH AVENUE #Z, MERRILLVILLE IN 46410