Indiana
Professional Licensing Agency
Jeremy Wade Roscoe
Controlled Substance Registration - Physician
License number
01057187B
Date granted
02/12/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Clown Pediatrics, P.C., 401 Camby Court, Greenwood IN 46142
indianalicensing.org
ID 5861940
LAST UPDATED 2024-02-10 12:06:50 UTC
LAST UPDATED 2024-02-10 12:06:50 UTC
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