License holder summary

Rebecca R. Small is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rebecca R. Small is Avon Family Medicine, 6845 US 36, Avon IN 46123-8132. This licensed professional license is current. The license was granted 05/24/2010 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Rebecca R. Small
Controlled Substance Registration - Physician
License number
01063143C
Date granted
05/24/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Avon Family Medicine, 6845 US 36, Avon IN 46123-8132
indianalicensing.org
ID 5820535
LAST UPDATED 2024-04-12 15:51:17 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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