Indiana
Professional Licensing Agency
David James Black
Controlled Substance Registration - Physician
License number
01034170B
Date granted
03/01/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1500 ALBANY STREET # 702, BEECH GROVE IN 46107
indianalicensing.org
ID 5822848
LAST UPDATED 2024-03-21 03:02:16 UTC
LAST UPDATED 2024-03-21 03:02:16 UTC
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