Theresa Smith Henderson
Controlled Substance Registration - Physician
Indiana 01045901B Active
This Indiana license is held by Theresa Smith Henderson. The license is currently active. It was granted on 10/24/1996 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01045901B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/24/1996 (almost 30 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Hendricks Pediatrics, 8244 East US Highway 36 Suite 100, Avon IN 46123
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