License holder summary

Angela Debord Henriksen is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Angela Debord Henriksen is Ageis Clinic, 1115 N Ronald Regan Pkwy Ste 318, Avon IN 46123. This licensed professional license is current. The license was granted 06/19/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Angela Debord Henriksen
Controlled Substance Registration - Physician
License number
01050868B
Date granted
06/19/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Ageis Clinic, 1115 N Ronald Regan Pkwy Ste 318, Avon IN 46123
indianalicensing.org
ID 5819930
LAST UPDATED 2024-04-19 04:31:14 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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