Indiana
Professional Licensing Agency
THEODORE CONNER FORREST
Controlled Substance Registration - Physician
License number
01034616B
Date granted
10/12/1985
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
C/O TEFF CO EMERG PHY INC, 722 WEST MAIN STREET, MADISON IN 47250
indianalicensing.org
ID 5887450
LAST UPDATED 2026-05-27 08:49:51 UTC
LAST UPDATED 2026-05-27 08:49:51 UTC
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