Forest D Daugherty

Controlled Substance Registration - Physician

Indiana  01018019B   Expired

This Indiana license was held by Forest D Daugherty. The license is no longer active. It was granted on 10/31/1985 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: 01018019B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 10/31/1985 (over 39 years ago)
  • Expiry Date: 06/30/2007 (almost 18 years ago)

LOCATIONS

A Address

4041 Shoshone Drive, Columbus IN 47203