Indiana
Professional Licensing Agency
John Fredrick Cooper
Controlled Substance Registration - Physician
License number
01018617B
Date granted
11/30/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5508 Wentworth Lane, Muncie IN 47304
indianalicensing.org
ID 5898582
LAST UPDATED 2024-02-25 19:23:51 UTC
LAST UPDATED 2024-02-25 19:23:51 UTC
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