Indiana
Professional Licensing Agency
Robert C. De Weese
Controlled Substance Registration - Physician
License number
01045109B
Date granted
05/23/1996
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LOUISVILLE GENERAL SURGERY, 2051 Clevidence Boulevard, Clarksville IN 47129
indianalicensing.org
ID 5834669
LAST UPDATED 2024-05-08 19:55:31 UTC
LAST UPDATED 2024-05-08 19:55:31 UTC
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