Indiana
Professional Licensing Agency
Michael Lloyd Whitworth
Controlled Substance Registration - Physician
License number
01047831D
Date granted
09/09/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4010 Goller Blvd.; Suite C, Columbus IN 47201
indianalicensing.org
ID 5836837
LAST UPDATED 2024-04-01 11:21:18 UTC
LAST UPDATED 2024-04-01 11:21:18 UTC
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