License holder summary

Alicia Marie Haywood is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alicia Marie Haywood is Scott Memorial, 1451 N Gardner St., Scottsburg IN 47170. This licensed professional license is not current. The license was granted 07/20/2006 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Alicia Marie Haywood
Controlled Substance Registration - Physician
License number
01062516B
Date granted
07/20/2006
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Scott Memorial, 1451 N Gardner St., Scottsburg IN 47170
indianalicensing.org
ID 5917489
LAST UPDATED 2024-01-24 12:20:48 UTC

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