MARSHALL CORYDON LEWIS

Controlled Substance Registration - Physician

Indiana  01043897B   Expired

This Indiana license was held by MARSHALL CORYDON LEWIS. The license is no longer active. It was granted on 06/29/1995 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: 01043897B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 06/29/1995 (almost 30 years ago)
  • Expiry Date: 06/30/2001 (almost 24 years ago)

LOCATIONS

A Address

SAINT MARGARET MERCY HEALTHCARE CTR N, 5454 HOHMAN AAVENUE PEDIATRIC, HAMMOND IN 46320