Indiana
Professional Licensing Agency
Jeffrey Townes Collins
Controlled Substance Registration - Physician
License number
01058989B
Date granted
06/08/2004
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Madison State Hospital, 711 Green Rd., Madison IN 47250
indianalicensing.org
ID 5886717
LAST UPDATED 2024-04-06 18:02:56 UTC
LAST UPDATED 2024-04-06 18:02:56 UTC
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