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
LAST UPDATED 2024-03-28 03:35:32 UTC
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