License holder summary

Simone Selena Cooper is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Simone Selena Cooper is Dekalb Memorial Hospital, Dept. of Medical Staff Serv., 1316 E. 7th Street, Auburn IN 46706. This licensed professional license is not current. The license was granted 02/01/2010 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Simone Selena Cooper
Controlled Substance Registration - Physician
License number
01067421C
Date granted
02/01/2010
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Dekalb Memorial Hospital, Dept. of Medical Staff Serv., 1316 E. 7th Street, Auburn IN 46706
indianalicensing.org
ID 5819477
LAST UPDATED 2024-03-19 04:56:47 UTC

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