Indiana
Professional Licensing Agency
OTTO NORMAN FORREST, JR
Controlled Substance Registration - Physician
License number
01018994B
Date granted
10/31/1984
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6212 OLD ENGLISH COURT, SOUTH BEND IN 46614
indianalicensing.org
ID 5921852
LAST UPDATED 2024-02-23 11:12:05 UTC
LAST UPDATED 2024-02-23 11:12:05 UTC
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