Indiana
Professional Licensing Agency
Maureen A. Cooper
Controlled Substance Registration - Physician
License number
01039354D
Date granted
09/07/2006
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
American Health Network, 276 Manchester Avenue, Wabash IN 46992
indianalicensing.org
ID 5931917
LAST UPDATED 2024-03-22 02:55:23 UTC
LAST UPDATED 2024-03-22 02:55:23 UTC
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