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
LAST UPDATED 2024-03-19 23:46:51 UTC
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