License holder summary

RANDALL POTTER DAVIDSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RANDALL POTTER DAVIDSON is DEACONESS FAMILY PRACTICE, 350 WEST COLUMBIA, EVANSVILLE IN 47710. This licensed professional license is not current. The license was granted 07/28/1994 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

RANDALL POTTER DAVIDSON
Controlled Substance Registration - Physician
License number
01042860B
Date granted
07/28/1994
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
DEACONESS FAMILY PRACTICE, 350 WEST COLUMBIA, EVANSVILLE IN 47710
indianalicensing.org
ID 5850868
LAST UPDATED 2024-05-21 00:50:06 UTC

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