Indiana
Professional Licensing Agency
Vivian Caro Cook
Controlled Substance Registration - Physician
License number
01066151B
Date granted
01/20/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3699 Epworth Rd., Newburgh IN 47630
indianalicensing.org
ID 5906473
LAST UPDATED 2024-03-11 23:47:47 UTC
LAST UPDATED 2024-03-11 23:47:47 UTC
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