License holder summary

Okosun Ehimare Edoro is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Okosun Ehimare Edoro is Immanuel Family Health Center, 915 W Chicago Avenue, East Chicago IN 46312. This licensed professional license is not current. The license was granted 02/18/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Okosun Ehimare Edoro
Controlled Substance Registration - Physician
License number
01058558B
Date granted
02/18/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Immanuel Family Health Center, 915 W Chicago Avenue, East Chicago IN 46312
indianalicensing.org
ID 5845755
LAST UPDATED 2026-05-09 22:59:41 UTC

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