Indiana
Professional Licensing Agency
Henry T Davis
Controlled Substance Registration-Osteopathic Physician
License number
02002016B
Date granted
12/07/1998
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
2277 East State Route 62, Boonville IN 47601
indianalicensing.org
ID 5795640
LAST UPDATED 2024-04-19 20:18:23 UTC
LAST UPDATED 2024-04-19 20:18:23 UTC
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