License holder summary

THEODORE ROOSEVELT ESPY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for THEODORE ROOSEVELT ESPY is 1649 BROADWAY PO BX 510, GARY IN IN 46407. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 06/30/1987.

Indiana

Professional Licensing Agency

THEODORE ROOSEVELT ESPY
Controlled Substance Registration - Physician
License number
01016912B
Date granted
06/30/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1649 BROADWAY PO BX 510, GARY IN IN 46407
indianalicensing.org
ID 5857674
LAST UPDATED 2024-02-07 06:02:44 UTC

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