Indiana
Professional Licensing Agency
Themen S. Danielson, Jr.
Controlled Substance Registration - Physician
License number
01025278B
Date granted
07/29/1991
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2210 Jackson St., Anderson IN 46016
indianalicensing.org
ID 5818261
LAST UPDATED 2024-03-27 14:46:28 UTC
LAST UPDATED 2024-03-27 14:46:28 UTC
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