Indiana
Professional Licensing Agency
Theresa Anne Woods
Controlled Substance Registration - Physician
License number
01042470B
Date granted
04/21/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2600 Ferry Street, Lafayette IN 47904
indianalicensing.org
ID 5880787
LAST UPDATED 2024-04-13 05:52:58 UTC
LAST UPDATED 2024-04-13 05:52:58 UTC
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