License holder summary

THERESA MARIE PORTER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for THERESA MARIE PORTER is 1501 WOODRIDGE AVENUE, MUNCIE IN 47304. This licensed professional license is not current. The license was granted 07/01/1987 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

THERESA MARIE PORTER
Controlled Substance Registration - Physician
License number
01036125B
Date granted
07/01/1987
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1501 WOODRIDGE AVENUE, MUNCIE IN 47304
indianalicensing.org
ID 5899531
LAST UPDATED 2024-02-13 19:22:48 UTC

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