Indiana
Professional Licensing Agency
Theodore Henson Clarke
Controlled Substance Registration - Podiatrist
License number
07000194B
Date granted
11/30/1982
Date expires
06/30/1991
Class
Controlled Substance Registration - Podiatrist
Status
Expired
Address
320 E TAYLOR, KOKOMO IN 46901
indianalicensing.org
ID 8431083
LAST UPDATED 2024-03-28 11:35:29 UTC
LAST UPDATED 2024-03-28 11:35:29 UTC
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