Indiana
Professional Licensing Agency
Theodore M. Warner, II
Controlled Substance Registration - Physician
License number
01023477B
Date granted
03/31/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
AmeriPath Indiana, 2560 N. Shadeland Ave., Ste A, Indianapolis IN 46219
indianalicensing.org
ID 5870831
LAST UPDATED 2024-03-15 14:40:03 UTC
LAST UPDATED 2024-03-15 14:40:03 UTC
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