Indiana
Professional Licensing Agency
TERRENCE EARL HAWKINS
Controlled Substance Registration-Osteopathic Physician
License number
02001084B
Date granted
05/24/1989
Date expires
06/30/1991
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
FORT WAYNE LASER LABORATORY, 3030 LAKE AVE SUITE 29, FORT WAYNE IN 46805
indianalicensing.org
ID 5800865
LAST UPDATED 2024-03-06 08:26:11 UTC
LAST UPDATED 2024-03-06 08:26:11 UTC
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