License holder summary

FAITH M COOPER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for FAITH M COOPER is 1325 PARKWAY COURT, LAFAYETTE IN 47905. This licensed professional license is not current. The license was granted 11/30/1984 and expired on 11/30/1984.

Indiana

Professional Licensing Agency

FAITH M COOPER
Controlled Substance Registration - Physician
License number
01017365B
Date granted
11/30/1984
Date expires
11/30/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1325 PARKWAY COURT, LAFAYETTE IN 47905
indianalicensing.org
ID 5879358
LAST UPDATED 2024-03-28 03:35:32 UTC

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