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
LAST UPDATED 2024-04-09 05:09:26 UTC
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