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
LAST UPDATED 2024-03-01 09:45:27 UTC
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