Indiana
Professional Licensing Agency
Elda Hogue Simpson
Controlled Substance Registration - Physician
License number
01060150B
Date granted
02/02/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Southern Indiana Pediatrics, 1614 25th Street, Bedford IN 47421
indianalicensing.org
ID 5822069
LAST UPDATED 2024-03-19 17:50:38 UTC
LAST UPDATED 2024-03-19 17:50:38 UTC
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