Indiana
Professional Licensing Agency
Toskhan Jamaal Marcel Cooper-Shelton
Controlled Substance Registration - Physician
License number
01072862D
Date granted
06/26/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Med Express Urgent Care, 1010 South Reed Road, Kokomo IN 46901
indianalicensing.org
ID 5877460
LAST UPDATED 2024-04-10 19:31:44 UTC
LAST UPDATED 2024-04-10 19:31:44 UTC
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