License holder summary

MINATI DOLLY SWOFFORD is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MINATI DOLLY SWOFFORD is Minati D. Swofford, 2101 JACKSON STREET suite 118, ANDERSON IN 46016. This licensed professional license is current. The license was granted 08/29/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

MINATI DOLLY SWOFFORD
Controlled Substance Registration - Physician
License number
01042478B
Date granted
08/29/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Minati D. Swofford, 2101 JACKSON STREET suite 118, ANDERSON IN 46016
indianalicensing.org
ID 5817758
LAST UPDATED 2024-02-07 14:22:22 UTC

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