License holder summary

Charles Odell Davidson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Charles Odell Davidson is 2200 Grant Street, Gary IN 46404. This licensed professional license is not current. The license was granted 10/31/1984 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Charles Odell Davidson
Controlled Substance Registration - Physician
License number
01021856B
Date granted
10/31/1984
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
2200 Grant Street, Gary IN 46404
indianalicensing.org
ID 5856318
LAST UPDATED 2024-03-31 13:30:37 UTC

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