Marylin Ann Datzman

Controlled Substance Registration - Physician

Indiana  01028568B   Expired

This Indiana license was held by Marylin Ann Datzman. The license is no longer active. It was granted on 04/30/1981 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: 01028568B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 04/30/1981 (about 44 years ago)
  • Expiry Date: 06/30/2001 (almost 24 years ago)

LOCATIONS

A Address

DUNN MEMORIAL HOSPITAL, 1600 23RD STREET, BEDFORD IN 47421