Indiana
Professional Licensing Agency
BERNARD TRENT COOPER
Controlled Substance Registration - Physician
License number
01017562B
Date granted
11/30/1984
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1078 N. Main Street, Box 99, Roanoke IN 46783
indianalicensing.org
ID 5914853
LAST UPDATED 2024-05-01 19:12:26 UTC
LAST UPDATED 2024-05-01 19:12:26 UTC
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