Indiana
Professional Licensing Agency
James Avery Holder
Controlled Substance Registration - Physician
License number
01059368B
Date granted
07/22/2004
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Bedford Regional Medical Center, 2900 W. 16th St, Bedford IN 47421
indianalicensing.org
ID 5822162
LAST UPDATED 2024-03-18 18:47:06 UTC
LAST UPDATED 2024-03-18 18:47:06 UTC
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