Indiana
Professional Licensing Agency
David K. Booth, II
Controlled Substance Registration-Osteopathic Physician
License number
02004083B
Date granted
08/29/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Family Medicine & Pediatric Care,Stone Crossing Pavilion, 3000 South State Rd. 135, Suite 200, CPI Inc., Greenwood IN 46143-9607
indianalicensing.org
ID 5802049
LAST UPDATED 2024-03-24 09:14:23 UTC
LAST UPDATED 2024-03-24 09:14:23 UTC
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