Indiana
Professional Licensing Agency
Charles Odell Davidson
Controlled Substance Registration - Physician
License number
01021856B
Date granted
10/31/1984
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
2200 Grant Street, Gary IN 46404
indianalicensing.org
ID 5856318
LAST UPDATED 2024-04-24 05:26:27 UTC
LAST UPDATED 2024-04-24 05:26:27 UTC
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