Indiana
Professional Licensing Agency
Jessie Evelyn Cooperider
Controlled Substance Registration-Osteopathic Physician
License number
02001007B
Date granted
03/08/1988
Date expires
06/30/1993
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
TIPTON CLINIC, 202 S WEST STREET, TIPTON IN 46072
indianalicensing.org
ID 5814451
LAST UPDATED 2024-01-24 00:37:12 UTC
LAST UPDATED 2024-01-24 00:37:12 UTC
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