Indiana
Professional Licensing Agency
Joseph Randall Dennison
Controlled Substance Registration - Physician
License number
01065665B
Date granted
08/04/2008
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Kings Daughters Medical Center- Medical Staff Office, 112 Presbyterian Avenue, Madison IN 47250
indianalicensing.org
ID 5886822
LAST UPDATED 2024-03-08 21:59:38 UTC
LAST UPDATED 2024-03-08 21:59:38 UTC
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