License holder summary

Randell Jack Coulter is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Randell Jack Coulter is MedStat, 1500 Provident Dr., Suite A, Warsaw IN 46580. This licensed professional license is current. The license was granted 07/07/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Randell Jack Coulter
Controlled Substance Registration-Osteopathic Physician
License number
02001541B
Date granted
07/07/1994
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
MedStat, 1500 Provident Dr., Suite A, Warsaw IN 46580
indianalicensing.org
ID 5815457
LAST UPDATED 2024-03-31 22:33:21 UTC

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