Indiana
Professional Licensing Agency
FE JOSON CACDAC
Controlled Substance Registration - Physician
License number
01026648B
Date granted
12/31/1984
Date expires
12/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
420 HOSPITAL LANE, TERRE HAUTE IN 47802
indianalicensing.org
ID 5925178
LAST UPDATED 2024-02-18 01:46:55 UTC
LAST UPDATED 2024-02-18 01:46:55 UTC
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