License holder summary

TERESA VIRGINIA DURBIN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for TERESA VIRGINIA DURBIN is 1225 E COOLSPRING AVENUE, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 10/14/1986 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

TERESA VIRGINIA DURBIN
Controlled Substance Registration - Physician
License number
01035505B
Date granted
10/14/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1225 E COOLSPRING AVENUE, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893782
LAST UPDATED 2024-03-16 23:24:48 UTC

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