Indiana
Professional Licensing Agency
Forest D Daugherty
Controlled Substance Registration - Physician
License number
01018019B
Date granted
10/31/1985
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4041 Shoshone Drive, Columbus IN 47203
indianalicensing.org
ID 5836247
LAST UPDATED 2024-02-11 18:56:58 UTC
LAST UPDATED 2024-02-11 18:56:58 UTC
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