License holder summary

Dana Rae Forrest is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dana Rae Forrest is 1306 E 7th Street, Suite A, Auburn IN 46706. This licensed professional license is current. The license was granted 07/01/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Dana Rae Forrest
Controlled Substance Registration - Physician
License number
01060919B
Date granted
07/01/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1306 E 7th Street, Suite A, Auburn IN 46706
indianalicensing.org
ID 5819174
LAST UPDATED 2024-03-04 05:27:19 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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