License holder summary

Lee A. Henderson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lee A. Henderson is Medical Diagnostic Services, P O Box 5628, 2400 South Street, Lafayette IN 47904. This licensed professional license is not current. The license was granted 03/03/2003 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Lee A. Henderson
Controlled Substance Registration - Physician
License number
01035929C
Date granted
03/03/2003
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Medical Diagnostic Services, P O Box 5628, 2400 South Street, Lafayette IN 47904
indianalicensing.org
ID 5880131
LAST UPDATED 2024-04-23 13:14:52 UTC

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