FAITH M COOPER
Controlled Substance Registration - Physician
Indiana 01017365B Expired
This Indiana license was held by FAITH M COOPER. The license is no longer active. It was granted on 11/30/1984 and expired on 11/30/1984
LICENSE DETAILS
- License Number: 01017365B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/30/1984 (over 41 years ago)
- Expiry Date: 11/30/1984 (over 41 years ago)
LOCATIONS
A Address
1325 PARKWAY COURT, LAFAYETTE IN 47905