Indiana
Professional Licensing Agency
Ricky Cottrell
Controlled Substance Registration - Physician
License number
01049885B
Date granted
05/05/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5758 N. Rockingham Lane, Mc Cordsville IN 46055
indianalicensing.org
ID 5889532
LAST UPDATED 2024-02-02 05:25:55 UTC
LAST UPDATED 2024-02-02 05:25:55 UTC
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