Indiana
Professional Licensing Agency
IAN SIM TEMPLETON
Controlled Substance Registration - Physician
License number
01018119B
Date granted
07/31/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 984, 1130 MEDICAL PLACE, SEYMOUR IN 47274
indianalicensing.org
ID 5918574
LAST UPDATED 2024-03-17 18:00:52 UTC
LAST UPDATED 2024-03-17 18:00:52 UTC
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