Indiana
Professional Licensing Agency
David William Cockerill
Controlled Substance Registration - Physician
License number
01059005B
Date granted
05/25/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
52820 Ravine Drive, Granger IN 46530
indianalicensing.org
ID 5859471
LAST UPDATED 2024-05-04 23:02:43 UTC
LAST UPDATED 2024-05-04 23:02:43 UTC
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