Indiana
Professional Licensing Agency
Paul D Forrest
Controlled Substance Registration - Physician
License number
01044575B
Date granted
12/07/1995
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
IMMEDIATE CARE CENTER, 610 EASTERN BLVD, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873925
LAST UPDATED 2026-06-15 04:06:01 UTC
LAST UPDATED 2026-06-15 04:06:01 UTC
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