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 2026-06-05 14:07:54 UTC
LAST UPDATED 2026-06-05 14:07:54 UTC
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