License holder summary

Gregory Lee Todd is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Gregory Lee Todd is Fairhaven Obstetrics & Gynecology, INC., 1111 Lighthouse Lane, Goshen IN 46526. This licensed professional license is current. The license was granted 01/06/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Gregory Lee Todd
Controlled Substance Registration - Physician
License number
01069009B
Date granted
01/06/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Fairhaven Obstetrics & Gynecology, INC., 1111 Lighthouse Lane, Goshen IN 46526
indianalicensing.org
ID 5858653
LAST UPDATED 2024-04-14 13:30:38 UTC

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