License holder summary

John Leroy Davidson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for John Leroy Davidson is % Cassie Potter, 3500 South LaFountain Street, Kokomo IN 46902. This licensed professional license is current. The license was granted 10/13/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

John Leroy Davidson
Controlled Substance Registration - Physician
License number
01049880B
Date granted
10/13/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
% Cassie Potter, 3500 South LaFountain Street, Kokomo IN 46902
indianalicensing.org
ID 5876390
LAST UPDATED 2024-03-25 18:22:03 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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