Debra Jean Madura

Controlled Substance Registration - Physician

Indiana  01040592B   Active

This Indiana license is held by Debra Jean Madura. The license is currently active. It was granted on 07/30/1992 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01040592B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/30/1992 (almost 32 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

938 Mezzanine Drive, Lafayette IN 47905