Marvin Antonio Duque

Controlled Substance Registration - Physician

Indiana  01066216C   Active

This Indiana license is held by Marvin Antonio Duque. The license is currently active. It was granted on 10/30/2013 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01066216C
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 10/30/2013 (over 10 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

Saint Joseph Regional Medical Center/Hospitalist Program, 5215 Holy Cross Parkway, Mishawaka IN 46545