Indiana
Professional Licensing Agency
Charlotte Ann Logan
Controlled Substance Registration - Physician
License number
01067204B
Date granted
03/01/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Howard Regional Health System-Main Campus, 3500 South LaFountain Street, Kokomo IN 46902
indianalicensing.org
ID 5875768
LAST UPDATED 2024-03-11 09:16:51 UTC
LAST UPDATED 2024-03-11 09:16:51 UTC
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