Indiana
Professional Licensing Agency
Terri A. Pellow
Controlled Substance Registration - Physician
License number
01030207B
Date granted
08/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
535 Bailliere Drive, Martinsville IN 46151
indianalicensing.org
ID 5889418
LAST UPDATED 2024-05-19 05:58:27 UTC
LAST UPDATED 2024-05-19 05:58:27 UTC
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