Indiana
Professional Licensing Agency
Paul C. Madison
Controlled Substance Registration - Physician
License number
01031628B
Date granted
04/30/1982
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Active
Address
350 Commerce Square, Michigan City IN 46360
indianalicensing.org
ID 5893334
LAST UPDATED 2026-06-18 19:05:52 UTC
LAST UPDATED 2026-06-18 19:05:52 UTC
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