Indiana
Professional Licensing Agency
Theodore F Holland, III
Controlled Substance Registration - Physician
License number
01026261B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Urology of Indiana, L.L.C., 1660 Lafayette Road Suite 150, Crawfordsville IN 47933-4602
indianalicensing.org
ID 5840620
LAST UPDATED 2024-03-28 12:23:32 UTC
LAST UPDATED 2024-03-28 12:23:32 UTC
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