Indiana
Professional Licensing Agency
Rae Jeanna Godsey
Controlled Substance Registration-Osteopathic Physician
License number
02002615B
Date granted
06/10/2003
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
11500 State Road 62, Charlestown IN 47111
indianalicensing.org
ID 5796595
LAST UPDATED 2024-03-17 09:06:49 UTC
LAST UPDATED 2024-03-17 09:06:49 UTC
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