License holder summary

A. Philip DePauw is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for A. Philip DePauw is C/O Urology Assoc of South Bend, 6301 University Commons, Ste 350, South Bend IN 46635. This licensed professional license is current. The license was granted 08/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

A. Philip DePauw
Controlled Substance Registration - Physician
License number
01030166B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
C/O Urology Assoc of South Bend, 6301 University Commons, Ste 350, South Bend IN 46635
indianalicensing.org
ID 5920354
LAST UPDATED 2024-03-01 09:45:27 UTC

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