Indiana
Professional Licensing Agency
Judith Ann Koehler
Controlled Substance Registration - Physician
License number
01050901B
Date granted
07/01/1999
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
KDHHS, 630 NORTH BROADWAY ST, PO BOX 447, Madison IN 47250
indianalicensing.org
ID 5886826
LAST UPDATED 2024-04-25 05:08:24 UTC
LAST UPDATED 2024-04-25 05:08:24 UTC
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