Indiana
Professional Licensing Agency
DONALD J DESTACHE MD PC
Medical Licensing Board - Medical Corporation
License number
50001474A
Date granted
01/12/1979
Date expires
12/31/1980
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
540 AUDUBON DR, EVANSVILLE IN 47715
indianalicensing.org
ID 24825866
LAST UPDATED 2024-02-22 08:03:04 UTC
LAST UPDATED 2024-02-22 08:03:04 UTC
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