Indiana
Professional Licensing Agency
Gary Jay Dietrich
Controlled Substance Registration - Physician
License number
01042007B
Date granted
11/08/1993
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
X-RAY CONSULTANTS INC, 720 E CEDAR SUITE 010, SOUTH BEND IN 46617
indianalicensing.org
ID 5920973
LAST UPDATED 2024-04-12 07:09:29 UTC
LAST UPDATED 2024-04-12 07:09:29 UTC
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