License holder summary

Carolyn Jean Cooke is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Carolyn Jean Cooke is FMMG Carolyn Cooke, 727 Mt Tabor Rd, New Albany IN 47150. This licensed professional license is current. The license was granted 09/06/2002 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Carolyn Jean Cooke
Controlled Substance Registration - Physician
License number
01056482B
Date granted
09/06/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
FMMG Carolyn Cooke, 727 Mt Tabor Rd, New Albany IN 47150
indianalicensing.org
ID 5902188
LAST UPDATED 2024-02-15 15:35:00 UTC

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