License holder summary

J. Theodore King is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for J. Theodore King is 8585 Broadway, Suite 650, Merrillville IN 46410. This licensed professional license is not current. The license was granted 07/31/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

J. Theodore King
Controlled Substance Registration - Physician
License number
01031274B
Date granted
07/31/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Expired Non-Renewable
Address
8585 Broadway, Suite 650, Merrillville IN 46410
indianalicensing.org
ID 5890453
LAST UPDATED 2024-03-19 23:46:51 UTC

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