Indiana
Professional Licensing Agency
Jacqueline K. Holder
Controlled Substance Registration-Osteopathic Physician
License number
02002477B
Date granted
05/01/2002
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Associated Physicians & Surgeons Clinic, LLC, 221 South Sixth Street, Terre Haute IN 47807
indianalicensing.org
ID 5814299
LAST UPDATED 2024-03-04 23:27:11 UTC
LAST UPDATED 2024-03-04 23:27:11 UTC
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