Indiana
Professional Licensing Agency
Theresa Smith Henderson
Controlled Substance Registration - Physician
License number
01045901B
Date granted
10/24/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Hendricks Pediatrics, 8244 East US Highway 36 Suite 100, Avon IN 46123
indianalicensing.org
ID 5820739
LAST UPDATED 2024-03-18 19:02:53 UTC
LAST UPDATED 2024-03-18 19:02:53 UTC
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