License holder summary

Douglas A. Charlesworth is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Douglas A. Charlesworth is 15730 CR28, Goshen IN 46528. This licensed professional license is current. The license was granted 12/30/1987 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Douglas A. Charlesworth
Controlled Substance Registration - Physician
License number
01036465B
Date granted
12/30/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
15730 CR28, Goshen IN 46528
indianalicensing.org
ID 5858569
LAST UPDATED 2024-04-18 17:59:14 UTC

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