License holder summary

MADELINE G PO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MADELINE G PO is 214 BUNTIN ST., VINCENNES IN 47591. This licensed professional license is not current. The license was granted 09/11/1975 and expired on 10/31/1984.

Indiana

Professional Licensing Agency

MADELINE G PO
Controlled Substance Registration - Physician
License number
01026162B
Date granted
09/11/1975
Date expires
10/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
214 BUNTIN ST., VINCENNES IN 47591
indianalicensing.org
ID 5931070
LAST UPDATED 2024-03-23 07:53:03 UTC

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