Indiana
Professional Licensing Agency
Arthur William Detore
Controlled Substance Registration - Physician
License number
01035316B
Date granted
09/04/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Parkview Health, 10501 Corporate Drive, FORT WAYNE IN 46845
indianalicensing.org
ID 5852975
LAST UPDATED 2024-03-17 13:43:54 UTC
LAST UPDATED 2024-03-17 13:43:54 UTC
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