Roger Curtis Collicott

Controlled Substance Registration - Physician

Indiana  01033269B   Active

This Indiana license is held by Roger Curtis Collicott. The license is currently active. It was granted on 09/30/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01033269B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 09/30/1986 (over 37 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

Fairfield Health Clinic, 2400 Sagamore Parkway South, Lafayette IN 47905