License holder summary

Otho Lee Trick is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Otho Lee Trick is Madison State Hospital, 711 Green Road, Madison IN 47250. This licensed professional license is not current. The license was granted 06/23/2003 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Otho Lee Trick
Controlled Substance Registration - Physician
License number
01055681C
Date granted
06/23/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Madison State Hospital, 711 Green Road, Madison IN 47250
indianalicensing.org
ID 5887099
LAST UPDATED 2024-04-09 06:03:30 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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