License holder summary

Diane Sue Cook is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Diane Sue Cook is 2606 Peddlers Village Road, Suite 200, Goshen IN 46526. This licensed professional license is current. The license was granted 06/25/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Diane Sue Cook
Controlled Substance Registration - Physician
License number
01040345B
Date granted
06/25/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2606 Peddlers Village Road, Suite 200, Goshen IN 46526
indianalicensing.org
ID 5858511
LAST UPDATED 2024-02-24 18:51:20 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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