Indiana
Professional Licensing Agency
Derek Reed Campbell
Controlled Substance Registration-Osteopathic Physician
License number
02002520B
Date granted
07/16/2002
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
FWMEP, 2434 Lake Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 5800390
LAST UPDATED 2024-05-09 17:27:27 UTC
LAST UPDATED 2024-05-09 17:27:27 UTC
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