Indiana
Professional Licensing Agency
Mary T Degeneffe
Controlled Substance Registration - Physician
License number
01042506B
Date granted
06/14/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
NICU at Memorial Hospital, 615 N Michigan St, South Bend IN 46601
indianalicensing.org
ID 5921691
LAST UPDATED 2024-05-04 09:37:06 UTC
LAST UPDATED 2024-05-04 09:37:06 UTC
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