Indiana
Professional Licensing Agency
Mary Anne Cooper
Controlled Substance Registration - Physician
License number
01032763C
Date granted
05/20/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CarePoint, 205 Noble Creek Drive, Noblesville IN 46060
indianalicensing.org
ID 5907137
LAST UPDATED 2024-04-11 04:25:33 UTC
LAST UPDATED 2024-04-11 04:25:33 UTC
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