Owen Mark Ukrainetz
Controlled Substance Registration - Physician
Indiana 01047547B Expired
This Indiana license was held by Owen Mark Ukrainetz. The license is no longer active. It was granted on 08/28/1997 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01047547B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/28/1997 (almost 29 years ago)
- Expiry Date: 06/30/2007 (almost 19 years ago)
LOCATIONS
A Address
141 West 22nd Street; Suite 311, Anderson IN 46011