Indiana
Professional Licensing Agency
Booker Theodore Evans
Controlled Substance Registration - Physician
License number
01049422B
Date granted
10/22/1998
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PORTER STARKE COUNSELING, 601 WALL STREET, VALPARAISO IN 46383
indianalicensing.org
ID 5928162
LAST UPDATED 2024-04-17 18:41:33 UTC
LAST UPDATED 2024-04-17 18:41:33 UTC
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