Mary E. Mason
Controlled Substance Registration-Osteopathic Physician
Indiana 02002806B Expired
This Indiana license was held by Mary E. Mason. The license is no longer active. It was granted on 07/01/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 02002806B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 07/01/2004 (almost 22 years ago)
- Expiry Date: 06/30/2007 (almost 19 years ago)
LOCATIONS
A Address
Fort Wayne Medical Education Program, 2448 Lake Avenue, Fort Wayne IN 46804