Indiana
Professional Licensing Agency
Ian Harper Cook
Controlled Substance Registration - Physician
License number
01019042B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
311 Cameron Hill Place, Fort Wayne IN 46804
indianalicensing.org
ID 5853420
LAST UPDATED 2024-04-30 16:09:01 UTC
LAST UPDATED 2024-04-30 16:09:01 UTC
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