Mark T. Ciancone
Controlled Substance Registration - Physician
Indiana 01031492B Expired
This Indiana license was held by Mark T. Ciancone. The license is no longer active. It was granted on 08/29/1988 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01031492B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/29/1988 (over 36 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
IU Health Center, 600 North Jordan Avenue, Bloomington IN 47405