Indiana
Professional Licensing Agency
Shelby Orison Cooper
Controlled Substance Registration - Physician
License number
01021456B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2500 North Detroit Street, Lagrange IN 46761
indianalicensing.org
ID 5881078
LAST UPDATED 2024-02-28 15:06:24 UTC
LAST UPDATED 2024-02-28 15:06:24 UTC
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