Indiana
Professional Licensing Agency
Kristi Joy Ter Avest Thede
Controlled Substance Registration - Physician
License number
01046241B
Date granted
03/20/1997
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Attn: Marteena Armour, 13300 Olio Road, Noblesville IN 46060
indianalicensing.org
ID 5907062
LAST UPDATED 2024-03-23 00:28:33 UTC
LAST UPDATED 2024-03-23 00:28:33 UTC
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