License holder summary

Susan Audrey Koslow is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Susan Audrey Koslow is 98 Woodbine Drive, Terre Haute IN 47803. This licensed professional license is not current. The license was granted 09/02/1994 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Susan Audrey Koslow
Controlled Substance Registration - Physician
License number
01042883B
Date granted
09/02/1994
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
98 Woodbine Drive, Terre Haute IN 47803
indianalicensing.org
ID 5926729
LAST UPDATED 2024-03-08 22:52:46 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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