Indiana
Professional Licensing Agency
Holly Renee Cooper
Controlled Substance Registration - Physician
License number
01047072B
Date granted
01/25/1999
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1080 N GREEN ST STE 200, BROWNSBURG IN 46112
indianalicensing.org
ID 5828830
LAST UPDATED 2024-04-24 17:40:32 UTC
LAST UPDATED 2024-04-24 17:40:32 UTC
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