License holder summary

DAVID LESLIE EVANS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID LESLIE EVANS is 2323 FERRY STREET #104, LAFAYETTE IN 47904. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

DAVID LESLIE EVANS
Controlled Substance Registration - Physician
License number
01020942B
Date granted
06/30/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2323 FERRY STREET #104, LAFAYETTE IN 47904
indianalicensing.org
ID 5879099
LAST UPDATED 2024-02-16 06:18:19 UTC

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