Indiana
Professional Licensing Agency
Jefferson John Davis
Controlled Substance Registration-Osteopathic Physician
License number
02002956B
Date granted
06/23/2005
Date expires
06/30/2007
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Ortho Indy, 1801 N. Senate Blvd. #200, Indianapolis IN 46202
indianalicensing.org
ID 5804714
LAST UPDATED 2024-03-18 09:17:55 UTC
LAST UPDATED 2024-03-18 09:17:55 UTC
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