Dana Rae Forrest
Controlled Substance Registration - Physician
Indiana 01060919B Active
This Indiana license is held by Dana Rae Forrest. The license is currently active. It was granted on 07/01/2005 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01060919B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/01/2005 (about 21 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
1306 E 7th Street, Suite A, Auburn IN 46706
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