Indiana
Professional Licensing Agency
Jeff Herman Towles
Controlled Substance Registration - Physician
License number
01020375B
Date granted
07/31/1986
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1315 Directors Row, Fort Wayne IN 46808
indianalicensing.org
ID 5853591
LAST UPDATED 2024-02-16 22:43:32 UTC
LAST UPDATED 2024-02-16 22:43:32 UTC
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