License holder summary

Roger Curtis Collicott is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Roger Curtis Collicott is Fairfield Health Clinic, 2400 Sagamore Parkway South, Lafayette IN 47905. This licensed professional license is current. The license was granted 09/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Roger Curtis Collicott
Controlled Substance Registration - Physician
License number
01033269B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Fairfield Health Clinic, 2400 Sagamore Parkway South, Lafayette IN 47905
indianalicensing.org
ID 5880648
LAST UPDATED 2024-03-30 04:58:02 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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