Indiana
Professional Licensing Agency
BECKY JO COOKE
Controlled Substance Registration - Physician
License number
01039846B
Date granted
12/16/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
416 E. Monroe Street, Ste. 200, South Bend IN 46601
indianalicensing.org
ID 5920469
LAST UPDATED 2024-03-06 10:33:25 UTC
LAST UPDATED 2024-03-06 10:33:25 UTC
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