License holder summary

Theresa Smith Henderson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Theresa Smith Henderson is Hendricks Pediatrics, 8244 East US Highway 36 Suite 100, Avon IN 46123. This licensed professional license is current. The license was granted 10/24/1996 and expired on 10/31/2015.

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

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