License holder summary

Charles Higgs Coulthard is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Charles Higgs Coulthard is 17321 State Road 23, South Bend IN 46635. This licensed professional license is current. The license was granted 07/28/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Charles Higgs Coulthard
Controlled Substance Registration - Physician
License number
01042925B
Date granted
07/28/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
17321 State Road 23, South Bend IN 46635
indianalicensing.org
ID 5920575
LAST UPDATED 2024-04-20 05:51:39 UTC

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