Indiana
Professional Licensing Agency
Parks Madden Adams, Jr.
Controlled Substance Registration - Physician
License number
01025596B
Date granted
10/31/1985
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
102 EAST 3RD, North Manchester IN 46962
indianalicensing.org
ID 5907598
LAST UPDATED 2024-04-05 14:57:25 UTC
LAST UPDATED 2024-04-05 14:57:25 UTC
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