Indiana
Professional Licensing Agency
Theodore Pait
Controlled Substance Registration - Physician
License number
01059893B
Date granted
10/21/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Logansport State Hospital, 1098 South State Rd. 25, Logansport IN 46947
indianalicensing.org
ID 5885873
LAST UPDATED 2026-05-08 21:30:39 UTC
LAST UPDATED 2026-05-08 21:30:39 UTC
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