License holder summary

Debra Jean Madura is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Debra Jean Madura is 938 Mezzanine Drive, Lafayette IN 47905. This licensed professional license is current. The license was granted 07/30/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Debra Jean Madura
Controlled Substance Registration - Physician
License number
01040592B
Date granted
07/30/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
938 Mezzanine Drive, Lafayette IN 47905
indianalicensing.org
ID 5879204
LAST UPDATED 2024-03-13 20:44:21 UTC

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