Marylin Ann Datzman

Controlled Substance Registration - Physician

Indiana  01028568C   Expired

This Indiana license was held by Marylin Ann Datzman. The license is no longer active. It was granted on 10/25/1985 and expired on 06/30/1987

LICENSE DETAILS

  • License Number: 01028568C
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 10/25/1985 (over 39 years ago)
  • Expiry Date: 06/30/1987 (almost 38 years ago)

LOCATIONS

A Address

1520 23RD STREET #C, BEDFORD IN 47421