License holder summary

Colleen Catherine Root is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Colleen Catherine Root is St. Vincent Physician Network, 12708 East 116th Street, Fishers IN 46038. This licensed professional license is current. The license was granted 07/28/1999 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Colleen Catherine Root
Controlled Substance Registration - Physician
License number
01050931B
Date granted
07/28/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Vincent Physician Network, 12708 East 116th Street, Fishers IN 46038
indianalicensing.org
ID 5851757
LAST UPDATED 2024-03-04 21:43:05 UTC

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