License holder summary

EUGENE T DMYTRYK II is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EUGENE T DMYTRYK II is 2512 Q STREET, BEDFORD IN 47421. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

EUGENE T DMYTRYK II
Controlled Substance Registration - Physician
License number
01029134B
Date granted
04/30/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Surrendered
Address
2512 Q STREET, BEDFORD IN 47421
indianalicensing.org
ID 5822087
LAST UPDATED 2024-04-09 05:09:26 UTC

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